Individual provider Active NPI

Jill Debra Knopoff, RD

  • Registered Dietitian
  • Stamford, CT
National Provider Identifier
1548859283
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
832273
Practice address
26 Rising Rock Rd
Stamford, CT 06903-3501
Phone
(203) 550-4386
NPI assigned
Jan 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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 832273 Primary

Addresses

Primary practice location

26 Rising Rock Rd
Stamford, CT 06903-3501

Mailing address

26 Rising Rock Rd
Stamford, CT 06903-3501
Phone (203) 550-4386

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Desktop
CONNECT URL Desktop

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Summit Medical Corporation PastSince Dec 15, 2021 Accepting new patients

Organizations & group practices 1

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": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1548859283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RISING ROCK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069033501",
            "telephone_number": "203-550-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 RISING ROCK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069033501",
            "telephone_number": "203-550-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOPOFF",
        "first_name": "JILL",
        "middle_name": "DEBRA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "832273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "endpointDescription": "My own computer",
            "address_1": "26 Rising Rock Rd",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069033501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "endpointDescription": "Computer at home",
            "address_1": "26 Rising Rock Rd",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069033501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.