Active NPI
Alison Birks, LDN
- Nutritionist
- Woodbury, CT
National Provider Identifier
1801334131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 001179
- Practice address
- 129 Main St N
Woodbury, CT 06798-2955 - Phone
- (203) 263-0673
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 001179 | CT | Primary |
Addresses
Primary practice location
129 Main St N
Woodbury, CT 06798-2955
Mailing address
PO Box 825
Woodbury, CT 06798-0825
Phone (860) 733-5191
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001179 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1801334131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 825",
"city": "WOODBURY",
"state": "CT",
"postal_code": "067980825",
"telephone_number": "860-733-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 MAIN ST N",
"city": "WOODBURY",
"state": "CT",
"postal_code": "067982955",
"telephone_number": "203-263-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKS",
"first_name": "ALISON",
"name_prefix": "Ms.",
"credential": "LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CT",
"license": "001179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.