Individual provider Active NPI

Stephanie M O'Connor, RD

  • Registered Dietitian
  • Newark, DE
National Provider Identifier
1306483995
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN-0000599 Issued in DE
Practice address
4735 Ogletown Stanton Rd Ste 3201
Newark, DE 19713-2094
Phone
(302) 661-3070
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 DN-0000599 DE Primary

Addresses

Primary practice location

4735 Ogletown Stanton Rd Ste 3201
Newark, DE 19713-2094

Mailing address

200 Hygeia Dr
Newark, DE 19713-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200124001624 DE Practitioner - Registered Dietitian Or Nutrition Professional 9234564006 Reassigns benefits to 1 organization
I20220325000239 PA Practitioner - Registered Dietitian Or Nutrition Professional 9234564006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Dec 16, 2019 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 1, 2022 Accepting new patients
Christiana Care Health Services, Inc Dietitian, Registered CurrentSince Dec 16, 2019 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 3201
Newark, DE 19713
Phone (302) 623-4323

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

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": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1306483995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD STE 3201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132094",
            "telephone_number": "302-661-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "DN-0000599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.