Individual provider Active NPI

Erin E Queno, RD

  • Registered Dietitian
  • Bloomfield, CT
National Provider Identifier
1770159238
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86009318 Issued in CT
Practice address
10 Jolley Dr Ste 102
Bloomfield, CT 06002-3061
Phone
(860) 286-2470
NPI assigned
Jun 3, 2021
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86009318 CT Primary

Addresses

Primary practice location

10 Jolley Dr Ste 102
Bloomfield, CT 06002-3061

Mailing address

10 Jolley Dr Ste 102
Bloomfield, CT 06002-3061
Phone (602) 862-4708

Other practice location 1

7 Elm St Ste 203
Enfield, CT 06082-3670
Phone (860) 286-2470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211002520 CT Practitioner - Registered Dietitian Or Nutrition Professional 8527598242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

10 Jolley Dr
Bloomfield, CT 06002-3061
Phone (860) 286-2470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001257CTMDChiropractor
86009318CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Feb 10, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Feb 10, 2025 Accepting new patients
Pounds Medical Weight Loss Transformation PC PastSince Jun 1, 2021 Accepting new patients

Locations

10 Jolley Dr
Bloomfield, CT 06002
Phone (860) 286-2470

10 Jolley Dr
#102
Bloomfield, CT 06002
Phone (860) 286-2470

7 Elm St
Enfield, CT 06082
Phone (860) 394-4708

7 Elm St
Ste 203
Enfield, CT 06082
Phone (860) 286-2470

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1770159238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JOLLEY DR STE 102",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023061",
            "telephone_number": "602-862-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JOLLEY DR STE 102",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023061",
            "telephone_number": "860-286-2470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Elm St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060823670",
            "country_code": "US",
            "telephone_number": "860-286-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUENO",
        "first_name": "ERIN",
        "middle_name": "E",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "86009318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.