Nicole Mucci, RD, CD-N, CEDS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

001136 Issued in CT

Practice address

239 Glenville Rd Ste 3
Greenwich, CT 06831-4172

Phone

(203) 815-2775

NPI assigned

Jan 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1770028383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E CENTER ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922761",
            "telephone_number": "203-507-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GLENVILLE RD STE 3",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068314172",
            "telephone_number": "203-815-2775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068251000",
            "country_code": "US",
            "telephone_number": "203-815-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Woodland Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064432380",
            "country_code": "US",
            "telephone_number": "203-208-8604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUCCI",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RD, CD-N, CEDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "001136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Sofia Moumin
• Lisa Mounts, LCSW
• Move Mountains Wellness LLC
• Anja Elizabeth Mubuuke, LMSW
• Jennifer Mucci-Cruz, OT
• Besnik Mucovic, PTA
• Nicholas Mudry
• Alisa Mujagic, LPC
• David Joshua Mullen, M.D.
• Francis O Mulwodo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.