Judy Ellen Prager, RDN, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000349 Issued in CT

Practice address

19 Cornell Rd
New Fairfield, CT 06812-3106

Phone

(203) 512-7781

NPI assigned

Sep 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Judy Prager

  dba Well Fed Connecticut

  • Registered Dietitian
  • New Fairfield, CT
  • NPI 1548716475

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1366991952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CORNELL RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123106",
            "telephone_number": "203-512-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CORNELL RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123106",
            "telephone_number": "203-512-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAGER",
        "first_name": "JUDY",
        "middle_name": "ELLEN",
        "credential": "RDN, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000349",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in New Fairfield, CT
• Providers in New Fairfield, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; 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.