Active NPI
Stefanie Kate Berggren, RD
- Registered Dietitian
- Clifton Park, NY
National Provider Identifier
1891373338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 009220
- Practice address
- 39 St Andrews Dr
Clifton Park, NY 12065-1227 - Phone
- (518) 469-0275
- NPI assigned
- Mar 29, 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 | 009220 | NY | Primary |
Addresses
Primary practice location
39 St Andrews Dr
Clifton Park, NY 12065-1227
Mailing address
39 St Andrews Dr
Clifton Park, NY 12065-1227
Phone (518) 469-0275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGC Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
125 Adams St
Delmar, NY 12054
Phone (518) 470-0866
1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028
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": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1891373338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ST ANDREWS DR",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120651227",
"telephone_number": "518-469-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 ST ANDREWS DR",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120651227",
"telephone_number": "518-469-0275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGGREN",
"first_name": "STEFANIE",
"middle_name": "KATE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "009220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.