| Krista Hollinshead Fogarty, RD | |
|
365 Montauk Ave, Lawrence And Memorial Hospital Food And Nutrition Dept, New London, CT 06320-4700 | |
| (860) 442-0711 | |
| Not Available |
| Full Name | Krista Hollinshead Fogarty |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 365 Montauk Ave, New London, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649565334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 000652 (Connecticut) | Primary |
| Provider Name | Hartford Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Hollinshead Fogarty, RD 365 Montauk Avenue, Lawrence And Memorial Hospital Food And Nutrition Dept, New London, CT 06320-4769 Ph: (860) 442-0711 | Krista Hollinshead Fogarty, RD 365 Montauk Ave, Lawrence And Memorial Hospital Food And Nutrition Dept, New London, CT 06320-4700 Ph: (860) 442-0711 |
Gut Well Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 37 Fitch Ave, New London, CT 06320 Phone: 301-908-5761 | |
Ms. Susan Law Mitchell, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 194 Howard St, New London, CT 06320 Phone: 860-444-4737 Fax: 860-865-2375 | |
Deborah M. Peterson, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-4737 Fax: 860-444-4775 | |
Nathan E. Nava, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-4775 | |
Ashley Rees Mooney, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6 Shaws Cv, New London, CT 06320 Phone: 860-705-0820 | |
Carlee Lynn Laporte, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 194 Howard St, New London, CT 06320 Phone: 860-444-4737 |