PEAK PERFORMANCE, INC. (NPI# 1952415002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952415002 |
| Entity Type | Organization |
| Organization Name | PEAK PERFORMANCE, INC. |
| Practice Address |
1 Eagle Ridge Dr Essex CT 06426-1330 |
| Practice Telephone | 8607671535 |
| Mailing Telephone | 8607671535 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHLEEN S. LABELLA (PRESIDENT/REGISTERED DIETITIAN) |
| Authorized Official Telephone | 8607671535 |
| Authorized Official Credential | RD, CD-N |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | CT544 | CT | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM GROUP NUMBER | 2700005440CT02 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PEAK PERFORMANCE, INC. | 2640 Ne Alberta St, Portland, OR 97211 |
| Connecticut Business Registrations | PEAK PERFORMANCE, INC. | 1 Eagle Ridge Drive, Essex, CT 06426 |
| Street Address |
1 EAGLE RIDGE DR |
| City | ESSEX |
| State | CT |
| Zip Code | 06426-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306155809 | Kathleen S Labella | Dietitian, Registered | 1 Eagle Ridge Dr, Essex, CT 06426-1330 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123867 | Art Therapy & Creative Counseling | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2017-06-05 |
| 1487085593 | Catherine Mary Demers | Nurse Practitioner | 10 Wildwood Medical Center, Essex, CT 06426 | 2013-11-29 |
| 1346515723 | Anne Peterson | Counselor | 80 Plains Rd, Essex, CT 06426 | 2012-03-19 |
| 1477851731 | Diana Leigh Amara | Counselor | 80 Plains Road, Essex, CT 06426 | 2011-03-09 |
| 1609034438 | Marybeth Pytlik Ellison | Pediatrics | Sunflower Developmental Pediatrics, 11 Wildwood Medical Center, Essex, CT 06426 | 2008-05-29 |
| 1780749747 | Dana Lyn Martin | Counselor | 190 Westbrook Road, Essex Child Guidance Clinic, Essex, CT 06426 | 2006-12-27 |
| 1881768836 | Jason Christopher Andrade | Counselor | 190 Westbrock Rd, Essex, CT 06426 | 2006-11-20 |
| 1386735546 | Robert D Dwyer | Urology | 6 Wildwood Medical Center, Essex, CT 06426 | 2006-09-27 |
| 1154421071 | Sharon D Mallon | Psychologist | 251 Westbrook Rd, Essex, CT 06426 | 2006-09-22 |
| 1043319510 | Brian David Fay | Social Worker | 251 Westbrook Road, Essex, CT 06426 | 2006-09-21 |
| Find all providers in zip 06426 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306155809 | Kathleen S Labella | Dietitian, Registered | 1 Eagle Ridge Dr, Essex, CT 06426-1330 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750882 | Lauren M Bush | Dietitian, Registered | 45 S Main St Ste 202, West Hartford, CT 06107-2402 | 2020-11-03 |
| 1528675972 | Kathryn Posillico | Dietitian, Registered | 29 Parker Ave, Stamford, CT 06906-1713 | 2020-09-29 |
| 1013524826 | Nicole Nyerick | Dietitian, Registered | 42 Willow Ct, Southington, CT 06489-3344 | 2020-09-25 |
| 1982211900 | Beth Saman | Dietitian, Registered | 150 Burwell Rd, New Hartford, CT 06057-4111 | 2020-09-24 |
| 1659985307 | Kathryn Balone | Dietitian, Registered | 23 Henry St Apt C, Greenwich, CT 06830-5809 | 2020-09-01 |
| 1952914301 | Louisa O'grady | Dietitian, Registered | 7 Beacon Hill Ter, Shelton, CT 06484-5905 | 2020-08-26 |
| 1245842228 | Hannah Yoo | Dietitian, Registered | 24 Old Farms Xing, Avon, CT 06001-2245 | 2020-08-20 |
| 1922619618 | Amy L Rapone | Dietitian, Registered | 67 Old Post Rd, Tolland, CT 06084-3342 | 2020-08-14 |
| 1700496361 | Cristina Gonzalez | Dietitian, Registered | 83 Morgan St Apt 5j, Stamford, CT 06905-5405 | 2020-08-07 |
| 1568071645 | Jillian Anastasia Wanik | Dietitian, Registered | 48 Sunnyledge St, New Britain, CT 06052-1604 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.