Active NPI
Laura Wegh Koski, RD
- Registered Dietitian
- Bristol, CT
National Provider Identifier
1730294265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000495
- Practice address
- 842 Clark Ave
Bristol, CT 06010-4065 - Phone
- (860) 582-9355
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 000495 | CT | Primary |
Addresses
Primary practice location
842 Clark Ave
Bristol, CT 06010-4065
Mailing address
339 Washington Rd
Terryville, CT 06786-6715
Phone (860) 584-9982
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000495 | CT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730294265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 WASHINGTON RD",
"city": "TERRYVILLE",
"state": "CT",
"postal_code": "067866715",
"telephone_number": "860-584-9982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 CLARK AVE",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060104065",
"telephone_number": "860-582-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSKI",
"first_name": "LAURA",
"middle_name": "WEGH",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.