Active NPI
Jessica Shapiro, RD, CDN
- Registered Dietitian
- Old Greenwich, CT
National Provider Identifier
1265000863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 992709
- Practice address
- 70 Laddins Rock Rd
Old Greenwich, CT 06870-1433 - Phone
- (845) 323-7318
- NPI assigned
- Jun 11, 2021
- 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 | 992709 | CT | Primary |
Addresses
Primary practice location
70 Laddins Rock Rd
Old Greenwich, CT 06870-1433
Mailing address
70 Laddins Rock Rd
Old Greenwich, CT 06870-1433
Phone (845) 323-7318
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 992709 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fig Health, Inc | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1265000863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 LADDINS ROCK RD",
"city": "OLD GREENWICH",
"state": "CT",
"postal_code": "068701433",
"telephone_number": "845-323-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 LADDINS ROCK RD",
"city": "OLD GREENWICH",
"state": "CT",
"postal_code": "068701433",
"telephone_number": "845-323-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "JESSICA",
"credential": "RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "992709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.