Active NPI
Heather Lee Peracchio, M.S., R.D., CD-N
- Registered Dietitian
- Cheshire, CT
National Provider Identifier
1679851968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000958
- Practice address
- 558 Maple Ave
Cheshire, CT 06410-2100 - Phone
- (203) 980-5616
- Fax
- (203) 271-3670
- NPI assigned
- Aug 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000958 | CT | Primary |
Addresses
Primary practice location
558 Maple Ave
Cheshire, CT 06410-2100
Mailing address
558 Maple Ave
Cheshire, CT 06410-2100
Phone (203) 980-5616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000958 | CT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newtrition Spot, LLC. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1679851968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 MAPLE AVE",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102100",
"telephone_number": "203-980-5616",
"fax_number": "203-271-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "558 MAPLE AVE",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102100",
"telephone_number": "203-980-5616",
"fax_number": "203-271-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERACCHIO",
"first_name": "HEATHER",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "M.S., R.D., CD-N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.