Kelly Lynnette Sheehan, R.D., CD-N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000708 Issued in CT

Practice address

130 Division St
Dining Services
Derby, CT 06418-1326

Phone

(203) 732-7585

Fax

(203) 732-7356

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kelly Lynnette Dean Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346273224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 WHEELER RD",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682428",
            "telephone_number": "203-452-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "address_2": "DINING SERVICES",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-7585",
            "fax_number": "203-732-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "KELLY",
        "middle_name": "LYNNETTE",
        "name_prefix": "Mrs.",
        "credential": "R.D., CD-N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000708",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "911775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DEAN",
            "middle_name": "LYNNETTE",
            "prefix": "MS.",
            "credential": "R.D., CD-N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Senzer, M.S.W.
• Mir Shah
• Pallavi Sharma, MD
• Mackie D Sheckfee, DPT
• Shed Your Stress Counseling, LLC
• Pete Prashamsa Shenoy, M.D.
• Natalia Aleksandrovna Sheptukhina, APRN
• Shilpa Shetty, MD
• Yosep Shin, M.D.
• Firoozeh Shomal Zadeh

• Registered Dietitian in Derby, CT
• Providers in Derby, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.