Individual provider Active NPI

Konstantia Evangelia Papapateras, RDN, CD-N

  • Registered Dietitian
  • East Hartford, CT
National Provider Identifier
1043866809
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
001247 Issued in CT
Practice address
94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone
(860) 528-1359
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 001247 CT Primary

Addresses

Primary practice location

94 Connecticut Blvd
East Hartford, CT 06108-3013

Mailing address

48 Avonwood Rd Apt 305
Avon, CT 06001-2024
Phone (860) 895-7907

Other practice location 1

150 N Main St
Manchester, CT 06042-2086
Phone (860) 646-8117

Other practice location 2

94 Union St
Vernon, CT 06066-3131
Phone (860) 528-1359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191002001827 CT Practitioner - Registered Dietitian Or Nutrition Professional 2567792674 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1247CTMDBehavioral Analyst
001247CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Health Centers, Inc. Single Specialty Current Accepting new patients
First Choice Health Centers, Inc. CurrentSince Aug 13, 2019 Accepting new patients
First Choice Health Centers, Inc. Single Specialty CurrentSince Aug 13, 2019 Accepting new patients
First Choice Health Centers, Inc. Single Specialty PastSince Aug 13, 2019 Accepting new patients

Locations

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

150 N Main St
Manchester, CT 06042
Phone (860) 533-3434

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1043866809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 AVONWOOD RD APT 305",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012024",
            "telephone_number": "860-895-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CONNECTICUT BLVD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083013",
            "telephone_number": "860-528-1359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Main St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060422086",
            "country_code": "US",
            "telephone_number": "860-646-8117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Union St",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "CT",
            "postal_code": "060663131",
            "country_code": "US",
            "telephone_number": "860-528-1359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPAPATERAS",
        "first_name": "KONSTANTIA",
        "middle_name": "EVANGELIA",
        "name_prefix": "Ms.",
        "credential": "RDN, CD-N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "001247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.