Active NPI
Jessica Sutton, MS, RD
- Registered Dietitian
- Glastonbury, CT
National Provider Identifier
1386485001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 942028
- Practice address
- 124 Hebron Ave Ste 2B
Glastonbury, CT 06033-2063 - Phone
- (860) 944-9767
- NPI assigned
- Jun 5, 2024
- 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 | 942028 | CT | Primary |
Addresses
Primary practice location
124 Hebron Ave Ste 2B
Glastonbury, CT 06033-2063
Mailing address
7 Tarry Brook Dr
Glastonbury, CT 06033-1213
Phone (860) 944-9767
Other practice location 1
7 Tarry Brook Dr
Glastonbury, CT 06033-1213
Phone (860) 944-9767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 Westover Dr
Sanford, NC 27330-8941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 942028 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1386485001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 TARRY BROOK DR",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060331213",
"telephone_number": "860-944-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 HEBRON AVE STE 2B",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332063",
"telephone_number": "860-944-9767"
}
],
"practiceLocations": [
{
"address_1": "7 Tarry Brook Dr",
"address_purpose": "LOCATION",
"city": "Glastonbury",
"state": "CT",
"postal_code": "060331213",
"country_code": "US",
"telephone_number": "860-944-9767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "JESSICA",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "942028",
"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 Jun 12, 2024; 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.