Sandra Jean Mandanici, MS RD CD-N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000853 Issued in CT

Practice address

2506 Eaton CT
Danbury, CT 06811-4065

Phone

(203) 512-1282

Fax

(203) 743-6633

NPI assigned

Apr 18, 2010

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

• Miss Sandra Jean Novella Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271548800000",
    "number": "1437475381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 EATON CT",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114065",
            "telephone_number": "203-512-1282",
            "fax_number": "203-743-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 EATON CT",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114065",
            "telephone_number": "203-512-1282",
            "fax_number": "203-743-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDANICI",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MS RD CD-N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-18",
        "last_updated": "2010-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000853",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "NOVELLA",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "MS RD CD-N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connie Malgrande, CCC-SLP
• Jill M Maloney, PT
• Kathleen Margaret Maloney
• Ashley Manari
• Vanessa Mancheno
• Victoria Lee Mandara
• Mandell & Blau, MD'S PC
• Kiran S. Mangrola-Patel, CRNA
• Pushpa Mani, MD
• Susan Mani, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2010; 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.