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Active NPI 1063287498 Individual Practitioner Male Practitioner

Nicholas Copenhaver

Dietitian, Registered • Wallingford, CT

Professional Overview & Biography Verified Profile Summary

Nicholas Copenhaver is a registered healthcare professional specializing in Dietitian, Registered in Wallingford, CT. Practice services are available at 4 RESEARCH PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4 Research Pkwy

Wallingford, CT 064921929

Telephone 8603513144
Associated Practice Facility / Clinic
🏢 Balanced Nutrition Llc Facility NPI 1336756493

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Wallingford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Wallingford, CT (833 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-15
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License CT 86302653

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Rebecca Balemian , RD CDN

Dietitian, Registered

NPI 1245634385

RDCDN

Stephanie Holinko , RD

Dietitian, Registered

NPI 1366124240

Registered Dietitian

Jacqueline Muszynski , RDN, LDN

Dietitian, Registered

NPI 1992280945

Registered Dietitian Nutritionist, Licensed Dietitian Nutritionist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 15, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2023

Registered at 4 RESEARCH PKWY, WALLINGFORD, CT 064921929 (Tel: 8603513144)

📍
Updated Business Mailing Address November 15, 2023

Registered at 130 ROUND HILL RD, NORTH HAVEN, CT 064734366 (Tel: 2038240463)

👤
Provider Name / Credentials Updated November 15, 2023

Recorded as NICHOLAS COPENHAVER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2023

Dietitian, Registered (License #86302653 in CT)

🟢
Initial NPI Registration & Enumeration November 15, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063287498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2023
Last Update: November 15, 2023
Sole Proprietor: No

Mailing Address

130 Round Hill Rd

North Haven, CT 064734366

Phone: 2038240463

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.