Active NPI
Elaine Dyer, R.D.
- Registered Dietitian
- New Haven, CT
National Provider Identifier
1548288178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000633
- Practice address
- 40 Temple St
New Haven, CT 06510-2715 - Phone
- (203) 785-6060
- Fax
- (203) 785-6666
- NPI assigned
- Jul 18, 2006
- 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 | 000633 | CT | Primary |
Addresses
Primary practice location
40 Temple St
New Haven, CT 06510-2715
Mailing address
300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 876-4000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000633 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1548288178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SEASIDE AVE",
"city": "MILFORD",
"state": "CT",
"postal_code": "064604603",
"telephone_number": "203-876-4000",
"fax_number": "203-876-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 TEMPLE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102715",
"telephone_number": "203-785-6060",
"fax_number": "203-785-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.