Individual provider Active NPI

Melissa I. Senior, CNS

  • Nutritionist
  • Westport, CT
National Provider Identifier
1750053393
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
002022 Issued in CT
Practice address
35 Charcoal Hill Rd
Westport, CT 06880-1635
Phone
(203) 912-6025
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 002022 CT Primary

Addresses

Primary practice location

35 Charcoal Hill Rd
Westport, CT 06880-1635

Mailing address

35 Charcoal Hill Rd
Westport, CT 06880-1635
Phone (203) 912-6025

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Westport

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
Certified Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1750053393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CHARCOAL HILL RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801635",
            "telephone_number": "203-912-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CHARCOAL HILL RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801635",
            "telephone_number": "203-912-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENIOR",
        "first_name": "MELISSA",
        "middle_name": "I.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "002022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Westport",
            "affiliation": "N",
            "address_1": "35 Charcoal Hill Rd",
            "city": "Westport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068801635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.