Individual provider Active NPI

Michelle Masi Didner

  • Nutritionist
  • Westport, CT
National Provider Identifier
1821732322
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
59.002183 Issued in CT
Practice address
155 Newtown Tpke
Westport, CT 06880-1017
Phone
(203) 800-1525
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 59.002183 CT Primary

Addresses

Primary practice location

155 Newtown Tpke
Westport, CT 06880-1017

Mailing address

155 Newtown Tpke
Westport, CT 06880-1017
Phone (203) 800-1525

Other identifiers 1

IdentifierTypeStateIssuer
59.002183OtherCTCT NUTRITION LICENSE

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

LicenseStateTypeSpecialty
59.002183CTMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Didner Nutrition LLC Nutritionist CurrentSince Jul 28, 2024 Accepting new patients
Marjorie Nolan Cohn LLC Past Accepting new patients

Organizations & group practices 2

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1821732322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NEWTOWN TPKE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801017",
            "telephone_number": "203-800-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NEWTOWN TPKE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801017",
            "telephone_number": "203-800-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDNER",
        "first_name": "MICHELLE",
        "middle_name": "MASI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "59.002183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT  NUTRITION LICENSE",
            "identifier": "59.002183",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.