Individual provider Active NPI

Denise E Groothuis

  • Registered Dietitian
  • Stamford, CT
National Provider Identifier
1114419256
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
007407 Issued in NY
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

Updated by the provider on Jun 5, 2018

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 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

Enrollment IDStateProvider typePAC IDDetails
I20231020002032 CT Practitioner - Registered Dietitian Or Nutrition Professional 6901252311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007407NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc CurrentSince Oct 1, 2023 Accepting new patients
Community Health Center Inc CurrentSince Oct 1, 2023 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.