NPIMap

Organization Active NPI

Grant's Nutrition and Wellness

  • Registered Dietitian
  • Berlin, CT
National Provider Identifier
1629425160
Registry record updated May 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1199 Issued in CT
Legal business name
GRANT'S NUTRITION AND WELLNESS
Practice address
37 Webster Square Rd
Berlin, CT 06037-2326
Phone
(860) 357-2282
Fax
(860) 357-2555
NPI assigned
May 14, 2016
Last updated
May 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jane M Grant, RDNPI 1669809208
Title
Owner
Phone
(860) 357-2282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1199 CT Primary

Addresses

Primary practice location

37 Webster Square Rd
Berlin, CT 06037-2326

Mailing address

37 Webster Square Rd
Berlin, CT 06037-2326
Phone (860) 357-2282

National Provider Directory

National Provider Directory

Locations

37 Webster Square Rd
Berlin, CT 06037
Phone (860) 357-2282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463184000000",
    "number": "1629425160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WEBSTER SQUARE RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372326",
            "telephone_number": "860-357-2282",
            "fax_number": "860-357-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WEBSTER SQUARE RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372326",
            "telephone_number": "860-357-2282",
            "fax_number": "860-357-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT'S NUTRITION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-14",
        "last_updated": "2016-05-14",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-357-2282",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.