Active NPI
Kara Ganssle Pachniuk, MS, CNS, CN
- Nutritionist
- Old Saybrook, CT
National Provider Identifier
1568021921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 001741
- Practice address
- 15 Meadowood LN
Old Saybrook, CT 06475-1806 - Phone
- (203) 913-6243
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 001741 | CT | Primary |
Addresses
Primary practice location
15 Meadowood LN
Old Saybrook, CT 06475-1806
Mailing address
15 Meadowood LN
Old Saybrook, CT 06475-1806
Phone (203) 913-6243
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001741 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Past | 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.
-
- Registered Dietitian
- New York, NY
- NPI 1760825160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1568021921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MEADOWOOD LN",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751806",
"telephone_number": "203-913-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MEADOWOOD LN",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751806",
"telephone_number": "203-913-6243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHNIUK",
"first_name": "KARA",
"middle_name": "GANSSLE",
"name_prefix": "Mrs.",
"credential": "MS, CNS, CN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CT",
"license": "001741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.