Active NPI
Denise E Groothuis
- Registered Dietitian
- Stamford, CT
National Provider Identifier
1114419256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007407
- Practice address
- 141 Franklin St
Stamford, CT 06901-1014 - Phone
- (203) 969-0802
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 007407 | NY | Primary |
Addresses
Primary practice location
141 Franklin St
Stamford, CT 06901-1014
Mailing address
52 Stonewall Cir
West Harrison, NY 10604-1117
Phone (917) 439-1209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007407 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center Inc | Current | Accepting new patients | |
| Community Health Center Inc | Current | Accepting new patients | |
| No Diet Dietitian, LLC | Dietitian, Registered | Past | Accepting new patients |
| Mochi Medical Ca PC | Past | Accepting new patients | |
| Saint Francis Medical Center | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
141 Franklin St
Stamford, CT 06901
Phone (203) 602-4441
Interoperability endpoints
- denise.groothuis@chcict.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Middletown, CT
- NPI 1952591851
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
-
- Obesity Medicine (Family Medicine) Physician
- San Francisco, CA
- NPI 1174303374
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1114419256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 STONEWALL CIR",
"city": "WEST HARRISON",
"state": "NY",
"postal_code": "106041117",
"telephone_number": "917-439-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 FRANKLIN ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069011014",
"telephone_number": "203-969-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROOTHUIS",
"first_name": "DENISE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.