Active NPIIndividual provider

Samantha J Nimmons, RD

Dietitian, Registered in Bloomfield, Connecticut

NPI Number1356037436
Practice location
10 Jolley Dr, Bloomfield, CT 06002-3061
Fax
—
Last updated
April 12, 2023

Samantha Jane Nimmons is a Dietitian, Registered based in Bloomfield, CT. Samantha Jane Nimmons practices in Bloomfield, CT and has the professional credentials of RD. The NPI Number for Samantha Jane Nimmons is 1356037436 and holds a License No. 6061 (MA). The current practice location address for Samantha Jane Nimmons is 10 Jolley Dr, Bloomfield, CT 06002-3061 and can be reached out via phone at 860-286-2470.

Provider Profile Details

NPI Number
1356037436
Provider Name
Samantha Jane Nimmons
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
10 Jolley Dr, Bloomfield, CT 06002-3061
Phone Number
860-286-2470
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2023
Last Update Date
April 12, 2023
Certification Date
April 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Jolley Dr
Bloomfield, CT 06002-3061
Zip
06002-3061
Phone Number
860-286-2470
Bloomfield, CT 06002Get directions →

Provider Business Mailing Address Details

Address
2 Meadow Ln
Southampton, MA 01073-9417
City
Southampton
State
MA
Zip
01073-9417
Phone Number
413-588-4728

License Information

License Number (1)
6061
License State (1)
MA
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
002338
License State (2)
CT
Taxonomy (2)
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 Samantha J Nimmons, RD?

The NPI number of Samantha J Nimmons, RD is 1356037436. It was assigned on April 12, 2023 and is currently active in the NPPES registry.

What is the specialty of Samantha J Nimmons, RD?

Samantha J Nimmons, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 6061.

Where does Samantha J Nimmons, RD practice?

The practice location is 10 Jolley Dr, Bloomfield, CT 06002-3061. The office can be reached at 860-286-2470 (phone).

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 1356037436 directly on the NPPES registry website.

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