Active NPIIndividual providerSole proprietor

Mrs. Amanda J Longolucco, RD

Dietitian, Registered in Norwich, Connecticut

NPI Number1235965898
Practice location
66 Franklin St, Norwich, CT 06360-5806
Fax
866-823-8168
Last updated
September 10, 2024

Amanda Joyce Longolucco is a Dietitian, Registered based in Norwich, CT. Amanda Joyce Longolucco practices in Norwich, CT and has the professional credentials of RD. The NPI Number for Amanda Joyce Longolucco is 1235965898 and holds a License No. LDN00935 (RI). The current practice location address for Amanda Joyce Longolucco is 66 Franklin St, Norwich, CT 06360-5806 and can be reached out via phone at 860-934-4926 and via fax at 866-823-8168.

Provider Profile Details

NPI Number
1235965898
Provider Name
Amanda Joyce Longolucco
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
66 Franklin St, Norwich, CT 06360-5806
Phone Number
860-934-4926
Fax Number
866-823-8168
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Other Names
Ms. Amanda Joyce Mcginn, RD (Former Name)
Provider Enumeration Date
September 10, 2024
Last Update Date
September 10, 2024
Certification Date
September 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Franklin St
Norwich, CT 06360-5806
Zip
06360-5806
Phone Number
860-934-4926
Fax Number
866-823-8168
Norwich, CT 06360Get directions →

Provider Business Mailing Address Details

Address
9 Ricky Ln
Preston, CT 06365-8620
City
Preston
State
CT
Zip
06365-8620
Phone Number
860-215-5574

License Information

License Number
LDN00935
License State
RI
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Amanda J Longolucco, RD?

The NPI number of Mrs. Amanda J Longolucco, RD is 1235965898. It was assigned on September 10, 2024 and is currently active in the NPPES registry.

What is the specialty of Mrs. Amanda J Longolucco, RD?

Mrs. Amanda J Longolucco, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number LDN00935.

Where does Mrs. Amanda J Longolucco, RD practice?

The practice location is 66 Franklin St, Norwich, CT 06360-5806. The office can be reached at 860-934-4926 (phone) or 866-823-8168 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235965898 directly on the NPPES registry website.

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