Individual provider Active NPI

Linda Ann Buchanan Fischtrom, CD/N

  • Nutritionist
  • Darien, CT
National Provider Identifier
1700060696
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
03-529515 Issued in CT
Practice address
36 Old Kings Hwy S
Suite 200
Darien, CT 06820-4523
Phone
(203) 655-4484
NPI assigned
Dec 27, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 03-529515 CT Primary

Addresses

Primary practice location

36 Old Kings Hwy S
Suite 200
Darien, CT 06820-4523

Mailing address

36 Old Kings Hwy S
Suite 200
Darien, CT 06820-4523
Phone (203) 655-4484

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
03-529515CTMDNutritionist
000375CTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Darien, P.C. PastSince Oct 12, 2010 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1700060696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 OLD KINGS HWY S",
            "address_2": "SUITE 200",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204523",
            "telephone_number": "203-655-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OLD KINGS HWY S",
            "address_2": "SUITE 200",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204523",
            "telephone_number": "203-655-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN FISCHTROM",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "03-529515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.