Individual provider Active NPI

Debra Anne Stopper I, R.D., CD-N

  • Registered Dietitian
  • Hamden, CT
National Provider Identifier
1013057835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000043 Issued in CT
Practice address
1 Evergreen Ave
Hamden, CT 06518-2717
Phone
(203) 248-8047
Fax
(203) 248-8047
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 000043 CT Primary

Addresses

Primary practice location

1 Evergreen Ave
Hamden, CT 06518-2717

Mailing address

35 Side Hill Rd
North Haven, CT 06473-3025
Phone (203) 287-8781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000043CTMDPodiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013057835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SIDE HILL RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733025",
            "telephone_number": "203-287-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EVERGREEN AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182717",
            "telephone_number": "203-248-8047",
            "fax_number": "203-248-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOPPER",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "R.D., CD-N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.