Individual provider Active NPI

Jean Margaret Bigaouette, M.A.,R.D., CDE

  • Registered Dietitian
  • Albany, NY
National Provider Identifier
1457334229
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000577-1 Issued in NY
Practice address
460 Krumkill Rd
Albany, NY 12203-5948
Phone
(518) 482-8704
Fax
(518) 482-7672
NPI assigned
Nov 24, 2005
Last updated
Oct 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 000577-1 NY Primary

Addresses

Primary practice location

460 Krumkill Rd
Albany, NY 12203-5948

Mailing address

460 Krumkill Rd
Albany, NY 12203-5948
Phone (518) 482-8704

Other identifiers 8

IdentifierTypeStateIssuer
004904401OtherNYAPA PARTNERS
10000163OtherNYCDPHP
S0002OtherNYEMPIRE BLUE CROSS
000000018616OtherNYGHI
004904401OtherNYBSNENY
141621099 0000OtherTNCIGNA
990278OtherNYMVP
116366OtherNYWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000015 NY Practitioner - Registered Dietitian Or Nutrition Professional 6002089554 Practice locations: Albany, NY

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

460 Krumkill Rd
Albany, NY 12203-5948
Phone (518) 482-8704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000577-1NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1132790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1457334229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 KRUMKILL RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035948",
            "telephone_number": "518-482-8704",
            "fax_number": "518-482-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 KRUMKILL RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035948",
            "telephone_number": "518-482-8704",
            "fax_number": "518-482-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGAOUETTE",
        "first_name": "JEAN",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "M.A.,R.D., CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-24",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "000577-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APA PARTNERS",
            "identifier": "004904401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10000163",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "S0002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "000000018616",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "004904401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "141621099 0000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "990278",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "116366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.

Verify at the official NPI Registry.