Active NPI
Meghan Mari Stanley, MS, CNS, CD-N
- Nutritionist
- Waterford, CT
National Provider Identifier
1649094822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 2677
- Practice address
- 15 Goshen Rd
Waterford, CT 06385-3704 - Phone
- (860) 235-4953
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 2677 | CT | Primary |
Addresses
Primary practice location
15 Goshen Rd
Waterford, CT 06385-3704
Mailing address
15 Goshen Rd
Waterford, CT 06385-3704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 W 24TH St
FL 4
New York, NY 10010-3239
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2677 | CT | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSH Health PA | Current | Accepting new patients |
Locations
2049 Silas Deane Hwy
Ste 207
Rocky Hill, CT 06067
19 W 24th St
Fl 4
New York, NY 10010
Phone (646) 844-2332
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": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1649094822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 GOSHEN RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063853704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 GOSHEN RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063853704",
"telephone_number": "860-235-4953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "MEGHAN",
"middle_name": "MARI",
"credential": "MS, CNS, CD-N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CT",
"license": "2677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.