Individual provider Active NPI

Shraddha Chaubey, MS,RD,CD

  • Registered Dietitian
  • West Lafayette, IN
National Provider Identifier
1558660183
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37001806A Issued in IN
Practice address
3367 Boone St
West Lafayette, IN 47906-1283
Phone
(765) 491-6700
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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 37001806A IN Primary

Addresses

Primary practice location

3367 Boone St
West Lafayette, IN 47906-1283

Mailing address

3367 Boone St
West Lafayette, IN 47906-1283
Phone (765) 491-6700

Other identifiers 1

IdentifierTypeStateIssuer
1609195361OtherINTYPE 2 NPI

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37001806AINMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1558660183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 BOONE ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061283",
            "telephone_number": "765-491-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 BOONE ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061283",
            "telephone_number": "765-491-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUBEY",
        "first_name": "SHRADDHA",
        "credential": "MS,RD,CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001806A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1609195361",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.