Diametabolicare PLLC
Nurse Practitioner in Old Lyme, Connecticut
1851296008- Practice location
- 23 Center Beach Ave, Old Lyme, CT 06371-2006
- Phone
- 860-209-6086
- Fax
- —
- Last updated
- October 8, 2026
Diametabolicare PLLC is a healthcare organization based in Old Lyme, CT. Diametabolicare PLLC practices in Old Lyme, CT. The NPI Number for Diametabolicare PLLC is 1851296008. The current practice location address for Diametabolicare PLLC is 23 Center Beach Ave, Old Lyme, CT 06371-2006 and can be reached out via phone at 860-209-6086.
Provider Profile Details
- NPI Number
- 1851296008
- Provider Name
- Diametabolicare PLLC
- Provider Entity Type
- Organization
- Address
- 23 Center Beach Ave, Old Lyme, CT 06371-2006
- Phone Number
- 860-209-6086
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Beata T Kubacka, DNP, AGPCNP-BC, RDN · Sole Member/Manager · 860-209-6086
- Provider Enumeration Date
- October 8, 2026
- Last Update Date
- October 8, 2026
- Certification Date
- October 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23 Center Beach Ave
Old Lyme, CT 06371-2006 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-2006
- Phone Number
- 860-209-6086
Provider Business Mailing Address Details
- Address
- 23 Center Beach Ave
Old Lyme, CT 06371-2006 - City
- Old Lyme
- State
- CT
- Zip
- 06371-2006
- Phone Number
- 860-209-6086
License Information
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Diametabolicare PLLC?
The NPI number of Diametabolicare PLLC is 1851296008. It was assigned on October 8, 2026 and is currently active in the NPPES registry.
What is the specialty of Diametabolicare PLLC?
Diametabolicare PLLC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X).
Where does Diametabolicare PLLC practice?
The practice location is 23 Center Beach Ave, Old Lyme, CT 06371-2006. The office can be reached at 860-209-6086 (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 1851296008 directly on the NPPES registry website.