Kira Pantschenko, DTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

Practice address

7 Deepwood LN
Westport, CT 06880-1317

Phone

(860) 559-0317

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1447718895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DEEPWOOD LN",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801317",
            "telephone_number": "203-442-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DEEPWOOD LN",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801317",
            "telephone_number": "860-559-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTSCHENKO",
        "first_name": "KIRA",
        "name_prefix": "Ms.",
        "credential": "DTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Owens, MD
• Caitlin Clements Paige, PT, DPT
• Palliative Turns LLC
• Andree Palmgren
• Pamela Feroleto, LCSW, LLC
• Sarah Pap
• James Papolos, M.D.
• Purvi Parikh, PHARMD
• Leslie A, Parker, MA, LCSW
• Bart M Pasternak, M.D.

• Registered Dietetic Technician in Westport, CT
• Providers in Westport, CT by specialty
• Registered Dietetic Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.