One Source Nutrition, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

000764 Issued in CT

Legal business name

ONE SOURCE NUTRITION, LLC

Practice address

301 Merritt 7
Wellness Center
Norwalk, CT 06851-1070

Phone

(203) 604-0202

Fax

(203) 604-0204

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald Milton Stokes, MPH, RD, CDN

Title

Owner

Phone

(917) 697-7614

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Christa Elaine Campbell, DC

  • Chiropractor
  • Norwalk, CT
  • NPI 1366500621
  NPD (past)
• Lori Sullivan, M.S, R.D.

  • Registered Dietitian
  • South Windsor, CT
  • NPI 1659620581
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871504142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 GLENBROOK RD APT 33",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061434",
            "telephone_number": "917-697-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MERRITT 7",
            "address_2": "WELLNESS CENTER",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511070",
            "telephone_number": "203-604-0202",
            "fax_number": "203-604-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-697-7614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH, RD, CDN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CT",
            "license": "000764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffani Olenik, LCSW
• Susana Olivo
• Quashante Yanique Ollivierre, LMFT
• Matthew Karl Olson, DMD
• Julie V Olsson, LMFT-A
• One Stop Home Care Services, LLC
• Opticare Eye Health Centers, Inc.
• Optimum Transport, LLC
• Jean-Michel Oquet, M.D.
• Oral Maxillofacial Surgery Fairfield County LLC

• Health Service Clinic/Center in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Health Service Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.