Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Braisted, RDNCDN

Individual provider Registered Dietitian · NPI 1831846203

Mary Braisted, RDNCDN is a Registered Dietitian OR Nutrition Professional in Middletown, Connecticut. Qualified in 2017, 9 years ago. Practices with Community Health Center Inc, a 148-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2022

Practice location Address checks out

675 Main St
Middletown, CT 06457-2732
Phone: (860) 347-6971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1831846203
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDNCDN
Sole proprietorNo
NPI enumeratedMarch 7, 2022
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address180 Randolph Rd, Middletown, CT 06457-5605

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Health Center Inc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Middletown