Active NPI
Jennifer Papastephanou, MS RD LDN CDE
- Registered Dietitian
- Lutherville, MD
National Provider Identifier
1467414318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- N00262
- Practice address
- 1734 York Rd
Lutherville, MD 21093-5606 - Phone
- (410) 321-5050
- Fax
- (410) 321-5050
- NPI assigned
- Apr 5, 2006
- Last updated
- Jun 4, 2012
- 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 | N00262 | MD | Primary |
Addresses
Primary practice location
1734 York Rd
Lutherville, MD 21093-5606
Mailing address
203 Purlington Rd
Lutherville, MD 21093-5252
Phone (410) 321-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16NU | Other | MD | BLUE CROSS BLUE SHIELD |
Other names 1
- The Nutrition Connection
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N00262 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nutrition Connection, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jennifer Papastephanou
- Registered Dietitian
- Timonium, MD
- NPI 1033469283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1467414318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 PURLINGTON RD",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210935252",
"telephone_number": "410-321-5050",
"fax_number": "410-321-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 YORK RD",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210935606",
"telephone_number": "410-321-5050",
"fax_number": "410-321-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPASTEPHANOU",
"first_name": "JENNIFER",
"credential": "MS RD LDN CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "N00262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "16NU",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THE",
"last_name": "CONNECTION",
"middle_name": "NUTRITION",
"credential": "LLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.