Individual provider Active NPI

Joan Sommers, CDF

  • Registered Dietitian
  • Norwich, CT
National Provider Identifier
1851460067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000541 Issued in CT
Practice address
111 Salem Turnpike
Backus Outpatient Care Center
Norwich, CT 06360
Phone
(860) 889-8331
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 000541 CT Primary

Addresses

Primary practice location

111 Salem Turnpike
Backus Outpatient Care Center
Norwich, CT 06360

Mailing address

111 Salem Turnpike
Backus Outpatient Care Center
Norwich, CT 06360
Phone (860) 889-8331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120928000484 CT Practitioner - Registered Dietitian Or Nutrition Professional 6305095720 Reassigns benefits to 1 organization
I20161019002182 RI Practitioner - Registered Dietitian Or Nutrition Professional 6305095720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Connecticut School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

35 Wells St
Unit 1
Westerly, RI 02891-2962
Phone (401) 596-7736

91 Voluntown Rd
Pawcatuck, CT 06379-1366
Phone (860) 599-5477

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
541CTMDChiropractor
000541CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Dietitian, Registered CurrentSince Apr 1, 2017 Accepting new patients
North Stonington Health Center, Inc Past Accepting new patients
Gastroenterology Specialists, Inc Past Accepting new patients

Locations

91 Voluntown Rd
Pawcatuck, CT 06379
Phone (860) 599-5477

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

35 Wells St
Unit 1
Westerly, RI 02891
Phone (401) 596-0550

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

45 Wells St
Westerly, RI 02891
Phone (401) 348-0008

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Organizations & group practices 3

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851460067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SALEM TURNPIKE",
            "address_2": "BACKUS OUTPATIENT CARE CENTER",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "06360",
            "telephone_number": "860-889-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SALEM TURNPIKE",
            "address_2": "BACKUS OUTPATIENT CARE CENTER",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "06360",
            "telephone_number": "860-889-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERS",
        "first_name": "JOAN",
        "credential": "CDF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.