Individual provider Active NPI

Jill Erika Dworkin, BCHN

  • Nutritionist
  • Glastonbury, CT
National Provider Identifier
1609588367
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
314 Chestnut Hill Rd
Glastonbury, CT 06033-4153
Phone
(202) 270-5612
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

314 Chestnut Hill Rd
Glastonbury, CT 06033-4153

Mailing address

314 Chestnut Hill Rd
Glastonbury, CT 06033-4153
Phone (202) 270-5612

Other practice location 1

155 Sycamore St
Glastonbury, CT 06033-4548
Phone (860) 646-8178

Other identifiers 1

IdentifierTypeStateIssuer
MCC8099OtherMERCHANT CATEGORY CLASSIFICATION CODE

Other names 1

  • Erika Dworkin Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1609588367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CHESTNUT HILL RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334153",
            "telephone_number": "202-270-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CHESTNUT HILL RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334153",
            "telephone_number": "202-270-5612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334548",
            "country_code": "US",
            "telephone_number": "860-646-8178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWORKIN",
        "first_name": "JILL",
        "middle_name": "ERIKA",
        "credential": "BCHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCHANT CATEGORY CLASSIFICATION CODE",
            "identifier": "MCC8099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "DWORKIN",
            "credential": "BCHN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.