Individual provider Active NPI

Meghan Mari Stanley, MS, CNS, CD-N

  • Nutritionist
  • Waterford, CT
National Provider Identifier
1649094822
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2677 Issued in CT
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

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260205000234 CT Practitioner - Registered Dietitian Or Nutrition Professional 0648759142 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2677CTMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
BSH Health PA CurrentSince Jan 1, 2026 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.

Verify at the official NPI Registry.