Changes for Life, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000762 Issued in CT

Legal business name

CHANGES FOR LIFE, LLC

Practice address

148 East Ave
Suite 3a
Norwalk, CT 06851-5721

Phone

(203) 532-5053

Fax

(203) 532-5053

NPI assigned

Sep 3, 2010

Last updated

Sep 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn Holmberg, M.S., R.D., C.D.N.NPI 1649581943

Title

Registered Dietitian

Phone

(203) 532-5053

Specialties & licenses 1

Addresses

Locations

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.

• Lynn Holmberg, MS, RD, CDN

  • Registered Dietitian
  • Norwalk, CT
  • NPI 1649581943

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1730496266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ELLIN DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068314976",
            "telephone_number": "203-532-5053",
            "fax_number": "203-532-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE",
            "address_2": "SUITE 3A",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "203-532-5053",
            "fax_number": "203-532-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "HOLMBERG",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "203-532-5053",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., R.D., C.D.N."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Cerrato, D.C.
• Sonali Chakraborti-Costa, RPH
• Narjiss Chalhaoui
• Ted Chan, PHARMD
• Ashita Chandra, MD
• Victoria Channell, OTR
• Christina Chao, P.A.
• Kannika Chap, LCSW
• Erica Jade Chaple, RD
• Charles L. G. Halasz, MD (Dermatology for the family)

• Registered Dietitian in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.