Active NPI
Maya Fussell, RD
- Registered Dietitian
- New Haven, CT
National Provider Identifier
1831857077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2032
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86072074 | Other | CT | REGISTERED DIETITIAN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2032 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale New Haven Hospital | Current | 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.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
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.