Stephanie Labrusciano, RD, CDE, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

59.001033 Issued in CT

Practice address

500 Boston Post Rd
Orange, CT 06477-3530

Phone

(203) 273-4815

NPI assigned

Sep 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amy Krystock LLC

  • Registered Dietitian
  • Orange, CT
  • NPI 1821586223

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1659520450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773530",
            "telephone_number": "203-671-4993",
            "fax_number": "800-855-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773530",
            "telephone_number": "203-273-4815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Wilton Rd E",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "CT",
            "postal_code": "068775730",
            "country_code": "US",
            "telephone_number": "203-273-4815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABRUSCIANO",
        "first_name": "STEPHANIE",
        "credential": "RD, CDE, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "59.001033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Kragh, OT
• Kristen Schultz LCSW LLC
• Kary Ann Krochko, APRN
• Sarah E Kuchta-Humphrey, LPC
• Yong Kwon
• Language of the Heart Psychotherapy LLC
• Matthew Laporta, SLP
• Johanna Lasala, MD
• Mollee Lasto
• Jessie Laurore, CNM

• Registered Dietitian in Orange, CT
• Providers in Orange, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.