Olivera Schmeelk, RD
Individual provider Active NPI Registered Dietitian · Woodstock, CT
NPI 1982149464 · NPPES record last updated Nov 26, 2021
Key facts
- NPI
- 1982149464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 001473 (CT)
- Practice address
- 158 Route 171
Woodstock, CT 06281-3123 - Phone
- (860) 942-7644
- NPI assigned
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4179 | MA | MD | Counselor |
| LDN00891 | RI | MD | Registered Dietitian |
| 001473 | CT | MD | Surgical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00891 | RI | |
| Registered Dietitian | 133V00000X | 4179 | MA | |
| Registered Dietitian | 133V00000X | 001473 | CT | Yes |
Addresses
Primary practice location
158 Route 171
Woodstock, CT 06281-3123
Mailing address
PO Box 17
Thompson, CT 06277-0017
Other providers in Woodstock, CT
- Frances Rollinson
- Rose Kihara Nurse Practitioner LLC
- Ellen Salurand
- Hailey Elizabeth Santelli
- Bobbie-Jo Saucier
- Christine Marie Schuler
- Lauren Marie Shea
- William Shevin
- Laurie Lee Swenson
- Janel M Syriac
All providers in Woodstock, CT · Registered Dietitian in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.