| Nicole Sun Cirilli, MS, RD, CDN | |
|
520 Saybrook Rd Ste 210, Middletown, CT 06457-4700 | |
| (860) 358-2970 | |
| (860) 347-1630 |
| Full Name | Nicole Sun Cirilli |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 520 Saybrook Rd Ste 210, Middletown, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154948990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86089376 (New York) | Primary |
| Provider Name | Mhs Primary Care, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740666312 PECOS PAC ID: 4082507371 Enrollment ID: O20040202000945 |
| Provider Name | Nicole Cirilli Nutrition Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831812312 PECOS PAC ID: 4486026267 Enrollment ID: O20230203000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Sun Cirilli, MS, RD, CDN 28 Crescent St, Middletown, CT 06457-3654 Ph: () - | Nicole Sun Cirilli, MS, RD, CDN 520 Saybrook Rd Ste 210, Middletown, CT 06457-4700 Ph: (860) 358-2970 |
Julia Tarbox, RD Dietitian Medicare: Medicare Enrolled Practice Location: 675 Main St, Middletown, CT 06457 Phone: 860-347-6971 Fax: 860-638-6831 | |
Samantha Oldman, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 400 Saybrook Road, 110, Middletown, CT 06457 Phone: 860-347-9167 | |
Rachel Drake, MSN,RN,MS,RD, PNP-BC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 414 High St, Middletown, CT 06457 Phone: 860-759-3733 | |
Ms. Elizabeth Joslow Archambault, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 Saybrook Rd, Shoreline Surgical Associates Suite 110, Middletown, CT 06457 Phone: 860-347-9167 Fax: 860-347-1630 | |
Rachel Kaunas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 534 Saybrook Rd, Middletown, CT 06457 Phone: 860-358-6000 | |
Eileen Rice, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-344-6394 Fax: 860-344-6748 |