Individual provider Active NPI

Drew Mulvey, CN

  • Nutritionist
  • Southbury, CT
National Provider Identifier
1811452329
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1731 Issued in CT
Practice address
17A Heritage CRST
Southbury, CT 06488-1370
Phone
(203) 470-8380
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1731 CT Primary

Addresses

Primary practice location

17A Heritage CRST
Southbury, CT 06488-1370

Mailing address

17A Heritage CRST
Southbury, CT 06488-1370
Phone (203) 470-8380

Other practice location 1

2452 Black Rock Tpke Ste 7
Fairfield, CT 06825-2407
Phone (203) 549-1511

Other practice location 2

85 Mill Plain Rd
Fairfield, CT 06824-5001
Phone (203) 690-1470

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

Practice roles

OrganizationSpecialtyStatusNew patients
Redeeming Life Nutrition, LLC. Nutritionist CurrentSince Jun 3, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1811452329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17A HERITAGE CRST",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881370",
            "telephone_number": "203-470-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17A HERITAGE CRST",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881370",
            "telephone_number": "203-470-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2452 Black Rock Tpke Ste 7",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068252407",
            "country_code": "US",
            "telephone_number": "203-549-1511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Mill Plain Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068245001",
            "country_code": "US",
            "telephone_number": "203-690-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "DREW",
        "credential": "CN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "1731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.