Individual provider Active NPI

Frankie Maderia

  • Registered Dietitian
  • Wallingford, CT
National Provider Identifier
1669940128
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86081090 Issued in CT
Practice address
11 Grieb TRL
Wallingford, CT 06492-2655
Phone
(860) 884-9718
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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 86081090 CT Primary

Addresses

Primary practice location

11 Grieb TRL
Wallingford, CT 06492-2655

Mailing address

11 Grieb TRL
Wallingford, CT 06492-2655
Phone (860) 884-9718

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
86081090CTMDRegistered Dietitian
1406CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
K and F Nutrition PastSince Oct 29, 2018 Accepting new patients

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": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1669940128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GRIEB TRL",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922655",
            "telephone_number": "860-884-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GRIEB TRL",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922655",
            "telephone_number": "860-884-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERIA",
        "first_name": "FRANKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "86081090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.