Individual provider Active NPI

Juhi Gupta, MS,RD,CDCES

  • Registered Dietitian
  • South Windsor, CT
National Provider Identifier
1629456660
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
688 Issued in CT
Practice address
87 Natsisky Farm Rd
South Windsor, CT 06074-1832
Phone
(860) 783-4400
Fax
(860) 783-4500
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 688 CT Primary

Addresses

Primary practice location

87 Natsisky Farm Rd
South Windsor, CT 06074-1832

Mailing address

87 Natsisky Farm Rd
South Windsor, CT 06074-1832

Other practice location 1

925 Sullivan Ave Ste 1
South Windsor, CT 06074-2080
Phone (860) 783-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812000561 CT Practitioner - Registered Dietitian Or Nutrition Professional 6901205525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

87 Natsisky Farm Rd
South Windsor, CT 06074-1832
Phone (248) 703-4348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Manchester Hospital, Inc. CurrentSince Apr 14, 2021 Accepting new patients
Your Nutri Guru Dietitian, Registered CurrentSince Apr 24, 2021 Accepting new patients

Locations

925 Sullivan Ave
Ste 1
South Windsor, CT 06074
Phone (860) 644-1521

Organizations & group practices 2

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1629456660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 NATSISKY FARM RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060741832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 NATSISKY FARM RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060741832",
            "telephone_number": "860-783-4400",
            "fax_number": "860-783-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Sullivan Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060742080",
            "country_code": "US",
            "telephone_number": "860-783-4400",
            "fax_number": "860-783-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "JUHI",
        "credential": "MS,RD,CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.