Active NPIIndividual provider

Melissa A Sullivan, RD, CD-N

Dietitian, Registered in Ellington, Connecticut

NPI Number1801123856
Practice location
10 Jonathan Dr, Ellington, CT 06029-3885
Fax
—
Last updated
March 17, 2025

Melissa A Sullivan is a Dietitian, Registered based in Ellington, CT. Melissa A Sullivan practices in Ellington, CT and has the professional credentials of RD, CD-N. The NPI Number for Melissa A Sullivan is 1801123856. The current practice location address for Melissa A Sullivan is 10 Jonathan Dr, Ellington, CT 06029-3885 and can be reached out via phone at 860-670-0611.

Provider Profile Details

NPI Number
1801123856
Provider Name
Melissa A Sullivan
Credential
RD, CD-N
Provider Entity Type
Individual
Gender
Female
Address
10 Jonathan Dr, Ellington, CT 06029-3885
Phone Number
860-670-0611
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
November 12, 2009
Last Update Date
March 17, 2025
Certification Date
March 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Jonathan Dr
Ellington, CT 06029-3885
Zip
06029-3885
Phone Number
860-670-0611
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
10 Jonathan Dr
Ellington, CT 06029-3885
City
Ellington
State
CT
Zip
06029-3885
Phone Number
860-670-0611

License Information

License State
CT
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 Melissa A Sullivan, RD, CD-N?

The NPI number of Melissa A Sullivan, RD, CD-N is 1801123856. It was assigned on November 12, 2009 and is currently active in the NPPES registry.

What is the specialty of Melissa A Sullivan, RD, CD-N?

Melissa A Sullivan, RD, CD-N is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Melissa A Sullivan, RD, CD-N practice?

The practice location is 10 Jonathan Dr, Ellington, CT 06029-3885. The office can be reached at 860-670-0611 (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 1801123856 directly on the NPPES registry website.

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