Individual provider Active NPI

Julie Schwartz, RD, LD

  • Obesity and Weight Management Nutrition Registered Dietitian
  • New Canaan, CT
National Provider Identifier
1891712238
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
ND10529 Issued in FL
Practice address
69 Grove St
New Canaan, CT 06840-5325
Phone
(844) 359-8363
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 2247 AR
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X DN-0010974 DE
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X L006677 NC
Registered Dietitian 133V00000X LD001484 GA
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X DX5486 MD
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X LD.09511 OH
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 164.008665 IL
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X ND10529 FL Primary

Addresses

Primary practice location

69 Grove St
New Canaan, CT 06840-5325

Mailing address

69 Grove St
New Canaan, CT 06840-5325
Phone (844) 359-8363

Other practice location 1

176 E 71st St # 10B
New York, NY 10021-5159
Phone (844) 359-8363

Other identifiers 1

IdentifierTypeStateIssuer
392434510AMedicaidGA

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

LicenseStateTypeSpecialty
LD001484GAMDRegistered Dietitian
DN-0010974DEMDObesity and Weight Management Nutrition Registered Dietitian
ND10529FLMDObesity and Weight Management Nutrition Registered Dietitian
164.008665ILMDObesity and Weight Management Nutrition Registered Dietitian
DX5486MDMDObesity and Weight Management Nutrition Registered Dietitian
L006677NCMDObesity and Weight Management Nutrition Registered Dietitian
LD.09511OHMDObesity and Weight Management Nutrition Registered Dietitian
2247ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sia Medical PC PastSince Jun 27, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julie.schwartz.1@25522.direct.athenahealth.com

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1891712238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GROVE ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405325",
            "telephone_number": "844-359-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GROVE ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405325",
            "telephone_number": "844-359-8363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 E 71st St # 10B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100215159",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JULIE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "AR",
            "license": "2247",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "DE",
            "license": "DN-0010974",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NC",
            "license": "L006677",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001484",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "MD",
            "license": "DX5486",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "OH",
            "license": "LD.09511",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "IL",
            "license": "164.008665",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "FL",
            "license": "ND10529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392434510A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.