Individual provider Active NPI

Maya Fussell, RD

  • Registered Dietitian
  • New Haven, CT
National Provider Identifier
1831857077
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2032 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-2422
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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 2032 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

Yale New Haven Hospital
20 York Street Food and Nutrition Epb806
New Haven, CT 06510
Phone (203) 688-2422

Other identifiers 1

IdentifierTypeStateIssuer
86072074OtherCTREGISTERED DIETITIAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nutrition@ynhh.org Other
Direct Messaging Address nutrition@ynhh.org Other Yale New Haven Hospital

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
2032CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Yale New Haven Hospital CurrentSince Jan 20, 2022 Accepting new patients

Locations

20 York St
North Haven, CT 06510
Phone (203) 688-2433

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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1831857077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "YALE NEW HAVEN HOSPITAL",
            "address_2": "20 YORK STREET FOOD AND NUTRITION EPB806",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-688-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSSELL",
        "first_name": "MAYA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "2032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "86072074",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nutrition@ynhh.org",
            "affiliation": "N",
            "endpointDescription": "department email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "shared mailbox",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "shared email",
            "address_1": "Yale New Haven Hospital",
            "address_2": "20 York street Food and Nutrition",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nutrition@ynhh.org",
            "affiliation": "Y",
            "endpointDescription": "network",
            "affiliationName": "Yale New Haven Hospital",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "network",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Yale New Haven Hospital",
            "address_2": "20 York street Food and Nutrition",
            "city": "New Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.