Stephanie Ann McBurnett, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86096327 Issued in CT

Practice address

16 Canopus Ave
Groton, CT 06340-2825

Phone

(240) 475-7920

NPI assigned

Dec 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Ann Menzen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1356938773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CANOPUS AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402825",
            "telephone_number": "240-475-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CANOPUS AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402825",
            "telephone_number": "240-475-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBURNETT",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "86096327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MENZEN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel James Mascaro
• Joseph A Mascaro, DC
• Janet Mattiucci, RPH
• Joseph John May
• Douglas McAdams, M.D.
• David J McCormick, PAC
• Edward J McDermott, M.D.
• Jeffrey Lynn McGregor, IDC
• Patricia McIvor, M.D.
• Dorothy Chapkovich McLaughlin, BS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.