Individual provider Active NPI

Janet Schaefer, MS, MBA, CDE, C D/N

  • Nutritionist
  • West Hartford, CT
National Provider Identifier
1871038448
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
000728 Issued in CT
Practice address
59 Cliffmore Rd
West Hartford, CT 06107-1152
Phone
(860) 478-5570
Fax
(860) 521-4453
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 000728 CT Primary

Addresses

Primary practice location

59 Cliffmore Rd
West Hartford, CT 06107-1152

Mailing address

59 Cliffmore Rd
West Hartford, CT 06107-1152
Phone (860) 478-5570

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
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
000728CTMDSpeech-Language Pathologist
728CTMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1871038448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CLIFFMORE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071152",
            "telephone_number": "860-478-5570",
            "fax_number": "860-521-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CLIFFMORE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071152",
            "telephone_number": "860-478-5570",
            "fax_number": "860-521-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JANET",
        "name_prefix": "Ms.",
        "credential": "MS, MBA, CDE, C D/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "000728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.