Active NPI
Kara McConnell
- Nutritionist
- Riverdale, NJ
National Provider Identifier
1336310200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 00857936
- Practice address
- 18 Newark Pompton Tpke
Riverdale, NJ 07457 - Phone
- (973) 616-4555
- Fax
- (973) 616-3430
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 00857936 | Primary |
Addresses
Primary practice location
18 Newark Pompton Tpke
Riverdale, NJ 07457
Mailing address
18 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (973) 616-4555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 857936 | Other | COMMISSION ON DIATETIC RE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1336310200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 NEWARK POMPTON TPKE",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "07457",
"telephone_number": "973-616-4555",
"fax_number": "973-616-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 NEWARK POMPTON TPKE",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "07457",
"telephone_number": "973-616-4555",
"fax_number": "973-616-3430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "KARA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": "00857936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIATETIC RE",
"identifier": "857936",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.