Active NPI
Christine E Gallichotte, MS, RD, CDN
- Registered Dietitian
- Brookfield, CT
National Provider Identifier
1871698415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000121
- Practice address
- 246 Federal Rd
Unit C33B
Brookfield, CT 06804-2647 - Phone
- (203) 775-3536
- Fax
- (203) 740-2725
- NPI assigned
- Sep 14, 2006
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000121 | CT | Primary |
Addresses
Primary practice location
246 Federal Rd
Unit C33B
Brookfield, CT 06804-2647
Mailing address
246 Federal Rd
Unit C33B
Brookfield, CT 06804-2647
Phone (203) 775-3536
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2456991 | Other | CT | AETNA HMO |
| 4546925 | Other | CT | AETNA |
| P470799 | Other | CT | OXFORD HEALTH PLANS |
| 270000121CT01 | Other | CT | ANTHEM BLUE CROSS BLUE SH |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121 | CT | MD | Group Psychotherapy Psychologist |
| 000121 | CT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhoda Banks LCSW LLC | Past | 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.
-
- Social Worker
- Brookfield, CT
- NPI 1184835670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871698415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 FEDERAL RD",
"address_2": "UNIT C33B",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042647",
"telephone_number": "203-775-3536",
"fax_number": "203-740-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 FEDERAL RD",
"address_2": "UNIT C33B",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042647",
"telephone_number": "203-775-3536",
"fax_number": "203-740-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLICHOTTE",
"first_name": "CHRISTINE",
"middle_name": "E",
"credential": "MS, RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2456991",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4546925",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P470799",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "270000121CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.