OrganizationActive
Ouellette Nutrition LLC
NPI 1760076178 · Registered Dietitian · South Windsor, CT
Provider details
- NPI number
- 1760076178
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Michael Ouellette, Owner/Managing Member(860) 222-0867
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22 Carson Way
South Windsor, CT 06074-1847
Phone: (860) 222-0867
Street-level locationGet directions
Mailing address
22 Carson Way
South Windsor, CT 06074-1847
Other names (DBA / former)
- Doing business as
- Common Roots Nutrition
Registry dates
- Enumerated
- 2021-02-25
- Last updated
- 2021-02-25
- Certified
- 2021-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.