Active NPI
Brooke Alyssa Rosenfeld, MS, RD, CPT
- Registered Dietitian
- Clinton, CT
National Provider Identifier
1891392585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001325
- Practice address
- 9 Autumn LN
Clinton, CT 06413-1329 - Phone
- (914) 648-9398
- NPI assigned
- Oct 6, 2020
- Last updated
- Oct 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 001325 | CT | Primary |
Addresses
Primary practice location
9 Autumn LN
Clinton, CT 06413-1329
Mailing address
9 Autumn LN
Clinton, CT 06413-1329
Phone (914) 648-9398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230105000791 | CT | Practitioner - Registered Dietitian Or Nutrition Professional | 2466822697 | Practice locations: Clinton, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9 Autumn LN
Clinton, CT 06413-1329
Phone (914) 648-9398
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1325 | CT | MD | Occupational Therapy Assistant |
| 001325 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1891392585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 AUTUMN LN",
"city": "CLINTON",
"state": "CT",
"postal_code": "064131329",
"telephone_number": "914-648-9398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 AUTUMN LN",
"city": "CLINTON",
"state": "CT",
"postal_code": "064131329",
"telephone_number": "914-648-9398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENFELD",
"first_name": "BROOKE",
"middle_name": "ALYSSA",
"credential": "MS, RD, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-06",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "001325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.