Individual provider Active NPI

Sharon Dina, MS, CD-N, CDE

  • Nutrition Education Nutritionist
  • Bridgeport, CT
National Provider Identifier
1730210808
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
000466 Issued in CT
Practice address
46 Albion St
Southwest Community Health Center,Inc
Bridgeport, CT 06605-2804
Phone
(203) 330-6000
Fax
(203) 330-6008
NPI assigned
Mar 8, 2007
Last updated
Jul 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 000466 CT Primary

Addresses

Primary practice location

46 Albion St
Southwest Community Health Center,Inc
Bridgeport, CT 06605-2804

Mailing address

46 Albion St
Southwest Community Health Center,Inc
Bridgeport, CT 06605-2804
Phone (203) 330-6000

Other identifiers 1

IdentifierTypeStateIssuer
004236130OtherCTMEDICAID

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)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1730210808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ALBION ST",
            "address_2": "SOUTHWEST COMMUNITY HEALTH CENTER,INC",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052804",
            "telephone_number": "203-330-6000",
            "fax_number": "203-330-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 ALBION ST",
            "address_2": "SOUTHWEST COMMUNITY HEALTH CENTER,INC",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052804",
            "telephone_number": "203-330-6000",
            "fax_number": "203-330-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINA",
        "first_name": "SHARON",
        "credential": "MS, CD-N, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CT",
            "license": "000466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "004236130",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.