Individual provider Active NPI

Elizabeth A. Caffrey, RD

  • Registered Dietitian
  • South Windsor, CT
National Provider Identifier
1508158668
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000178 Issued in CT
Practice address
1559 Sullivan Ave FL 2
South Windsor, CT 06074-2766
Phone
(860) 696-2240
NPI assigned
May 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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 000178 CT Primary

Addresses

Primary practice location

1559 Sullivan Ave FL 2
South Windsor, CT 06074-2766

Mailing address

1559 Sullivan Ave FL 2
South Windsor, CT 06074-2766
Phone (860) 696-2240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000215 CT Practitioner - Registered Dietitian Or Nutrition Professional 1850577180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1559 Sullivan Ave
South Windsor, CT 06074-2766
Phone (860) 724-4443

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000178CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Apr 19, 2011 Accepting new patients
Hartford Hospital CurrentSince Jul 1, 2014 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Mar 1, 2022 Accepting new patients
Hartford Hospital CurrentSince Apr 19, 2011 Accepting new patients

Locations

256 N Main St
Manchester, CT 06042
Phone (860) 646-8595

1559 Sullivan Ave
Fl 2
South Windsor, CT 06074
Phone (860) 696-2240

1559 Sullivan Ave
South Windsor, CT 06074
Phone (860) 696-2350

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 5

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1508158668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 SULLIVAN AVE FL 2",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742766",
            "telephone_number": "860-696-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 SULLIVAN AVE FL 2",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742766",
            "telephone_number": "860-696-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFREY",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.