Active NPI
Jane M Grant, RD
- Registered Dietitian
- Berlin, CT
National Provider Identifier
1669809208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1199
- Practice address
- 37 Webster Square Rd
Berlin, CT 06037-2326 - Phone
- (860) 357-2282
- Fax
- (860) 357-2555
- NPI assigned
- Sep 27, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1199 | CT | Primary |
Addresses
Primary practice location
37 Webster Square Rd
Berlin, CT 06037-2326
Mailing address
27 Webster Square Rd
Berlin, CT 06037-2326
Phone (860) 357-2282
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1199 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant'S Nutrition and Wellness | Dietitian, Registered | Current | Accepting new patients |
Locations
37 Webster Square Rd
Berlin, CT 06037
Phone (860) 357-2282
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": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1669809208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 WEBSTER SQUARE RD",
"city": "BERLIN",
"state": "CT",
"postal_code": "060372326",
"telephone_number": "860-357-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 WEBSTER SQUARE RD",
"city": "BERLIN",
"state": "CT",
"postal_code": "060372326",
"telephone_number": "860-357-2282",
"fax_number": "860-357-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "JANE",
"middle_name": "M",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-27",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "1199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.