Diane Selvaggi, RDN CDE MHS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

526452 Issued in CT

Practice address

40 Commerce Park Ste 1
Milford, CT 06460-3535

Phone

(203) 878-3531

Fax

(866) 284-6188

NPI assigned

Apr 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1912560079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WOODSTOCK AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144212",
            "telephone_number": "203-675-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 COMMERCE PARK STE 1",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603535",
            "telephone_number": "203-878-3531",
            "fax_number": "866-284-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVAGGI",
        "first_name": "DIANE",
        "credential": "RDN CDE MHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "526452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diane.selvaggi@imm.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "direct message address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email address",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dselvaggi@immct.com",
            "address_1": "40 Commerce Park Ste 1",
            "city": "Milford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064603535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Milford, CT
• Providers in Milford, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.