Active NPIOrganization

Ouellette Nutrition LLC

Dietitian, Registered in South Windsor, Connecticut

NPI Number1760076178
Practice location
22 Carson Way, South Windsor, CT 06074-1847
Fax
—
Last updated
February 25, 2021

Ouellette Nutrition LLC is a healthcare organization based in South Windsor, CT. Ouellette Nutrition LLC practices in South Windsor, CT. The NPI Number for Ouellette Nutrition LLC is 1760076178. The current practice location address for Ouellette Nutrition LLC is 22 Carson Way, South Windsor, CT 06074-1847 and can be reached out via phone at 860-222-0867.

Provider Profile Details

NPI Number
1760076178
Provider Name
Ouellette Nutrition LLC
Provider Entity Type
Organization
Address
22 Carson Way, South Windsor, CT 06074-1847
Phone Number
860-222-0867
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Michael Ouellette, RDN, CDN · Owner/Managing Member · 860-222-0867
Other Names
Common Roots Nutrition (Doing Business As)
Provider Enumeration Date
February 25, 2021
Last Update Date
February 25, 2021
Certification Date
February 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Carson Way
South Windsor, CT 06074-1847
Zip
06074-1847
Phone Number
860-222-0867
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
22 Carson Way
South Windsor, CT 06074-1847
City
South Windsor
State
CT
Zip
06074-1847
Phone Number
860-222-0867

License Information

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 Ouellette Nutrition LLC?

The NPI number of Ouellette Nutrition LLC is 1760076178. It was assigned on February 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Ouellette Nutrition LLC?

Ouellette Nutrition LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Ouellette Nutrition LLC practice?

The practice location is 22 Carson Way, South Windsor, CT 06074-1847. The office can be reached at 860-222-0867 (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 1760076178 directly on the NPPES registry website.

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