NPIMap

Organization Active NPI

Uconn Health Center, John Dempsey Hospital

  • Registered Dietitian
  • Vernon, CT
National Provider Identifier
1548414667
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
957919 Issued in CT
Legal business name
UCONN HEALTH CENTER, JOHN DEMPSEY HOSPITAL
Practice address
205 Vernon Ave Apt 209
Vernon, CT 06066-4365
Phone
(860) 803-0706
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Chelsea Nicole Fowler, R.D.
Title
Registered Dietitian, Oncology
Phone
(860) 679-7558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 957919 CT Primary

Addresses

Primary practice location

205 Vernon Ave Apt 209
Vernon, CT 06066-4365

Mailing address

205 Vernon Ave Apt 209
Vernon, CT 06066-4365
Phone (860) 803-0706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1548414667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 VERNON AVE APT 209",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664365",
            "telephone_number": "860-803-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 VERNON AVE APT 209",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664365",
            "telephone_number": "860-803-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCONN HEALTH CENTER, JOHN DEMPSEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, ONCOLOGY",
        "authorized_official_telephone_number": "860-679-7558",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "957919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.