Shoreline Nutrition Counseling, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000527 Issued in CT

Legal business name

SHORELINE NUTRITION COUNSELING, LLC

Practice address

175 N Main St
Branford, CT 06405-3019

Phone

(203) 483-4383

Fax

(203) 483-4386

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Jean Gaffney, R.D.NPI 1235268087

Title

Sole Member of LLC

Phone

(203) 483-4383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon Jean Gaffney, R.D.

  • Nutritionist
  • Branford, CT
  • NPI 1235268087

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780897884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053019",
            "telephone_number": "203-483-4383",
            "fax_number": "203-483-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053019",
            "telephone_number": "203-483-4383",
            "fax_number": "203-483-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE NUTRITION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAFFNEY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SOLE MEMBER OF LLC",
        "authorized_official_telephone_number": "203-483-4383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.