NPIMap

Organization Active NPI

Project Eat Well LLC

  • Registered Dietitian
  • Lisbon, CT
National Provider Identifier
1891260345
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PROJECT EAT WELL LLC
Practice address
59 Ross Hill Rd
Lisbon, CT 06351-2919
Phone
(860) 230-8611
NPI assigned
Oct 11, 2018
Last updated
Oct 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Katryna Minski, REGISTERED DIETITIAN
Title
Owner
Phone
(860) 230-8611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

59 Ross Hill Rd
Lisbon, CT 06351-2919

Mailing address

59 Ross Hill Rd
Lisbon, CT 06351-2919
Phone (860) 230-8611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1891260345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ROSS HILL RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063512919",
            "telephone_number": "860-230-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ROSS HILL RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063512919",
            "telephone_number": "860-230-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT EAT WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "MINSKI",
        "authorized_official_first_name": "KATRYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-230-8611",
        "authorized_official_credential": "REGISTERED DIETITIAN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.