Active NPI
Cara C Andreoli, R.D., CDE
- Registered Dietitian
- Glastonbury, CT
National Provider Identifier
1336387406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000877
- Practice address
- 99 Citizens Dr
Glastonbury, CT 06033-1262 - Phone
- (860) 888-6553
- Fax
- (860) 888-6553
- NPI assigned
- Jan 28, 2009
- Last updated
- May 4, 2017
- 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 | 000877 | CT | Primary |
Addresses
Primary practice location
99 Citizens Dr
Glastonbury, CT 06033-1262
Mailing address
41 Mockingbird LN
Glastonbury, CT 06033-1754
Phone (860) 888-6553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090922000710 | CT | Practitioner - Registered Dietitian Or Nutrition Professional | 2567518293 | Practice locations: Glastonbury, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
31 Sycamore St
Glastonbury, CT 06033-4540
Phone (860) 888-6553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000877 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1336387406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MOCKINGBIRD LN",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331754",
"telephone_number": "860-888-6553",
"fax_number": "860-275-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CITIZENS DR",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331262",
"telephone_number": "860-888-6553",
"fax_number": "860-888-6553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREOLI",
"first_name": "CARA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "R.D., CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-28",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.