Organization Active NPI

Judy Prager

  • Registered Dietitian
  • New Fairfield, CT
National Provider Identifier
1548716475
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
03-346309 Issued in CT
Legal business name
JUDY PRAGER
Doing business as
Well Fed Connecticut
Practice address
19 Cornell Rd
New Fairfield, CT 06812-3106
Phone
(203) 512-7781
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Judy E Prager, RDNNPI 1366991952
Title
Registered Dietitian Nutritionist
Phone
(203) 512-7781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 03-346309 CT Primary

Addresses

Primary practice location

19 Cornell Rd
New Fairfield, CT 06812-3106

Mailing address

19 Cornell Rd
New Fairfield, CT 06812-3106
Phone (203) 512-7781

Other names 1

  • Well Fed Connecticut Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1548716475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CORNELL RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123106",
            "telephone_number": "203-512-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CORNELL RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123106",
            "telephone_number": "203-512-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY PRAGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "PRAGER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "203-512-7781",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "03-346309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Fed Connecticut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.