Individual provider Active NPI

Stacey London-Oshkello, RD

  • Registered Dietitian
  • Westminster, VT
National Provider Identifier
1891822144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
074-0000212 Issued in VT
Practice address
4923 US Route 5
Sojourns Community Health Clinic
Westminster, VT 05158-9651
Phone
(802) 722-4023
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 074-0000212 VT Primary

Addresses

Primary practice location

4923 US Route 5
Sojourns Community Health Clinic
Westminster, VT 05158-9651

Mailing address

4923 US Route 5
Sojourns Community Health Clinic
Westminster, VT 05158-9651
Phone (802) 722-4023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070410000357 VT Practitioner - Registered Dietitian Or Nutrition Professional 2466557087 Reassigns benefits to 1 organization
Practice locations: Moretown, VT

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sojourns Community Clinic IncGroup PAC ID 9234035072, 10 clinicians

Practice addresses (Care Compare)

4923 US Route 5
Westminster, VT 05158-9651
Phone (802) 722-4023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074-0000212VTMDRegistered Dietitian

Interoperability endpoints

  • Direct secure messaging: stacey.oshkello@548712404353028.direct.elationemr.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, 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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891822144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 US ROUTE 5",
            "address_2": "SOJOURNS COMMUNITY HEALTH CLINIC",
            "city": "WESTMINSTER",
            "state": "VT",
            "postal_code": "051589651",
            "telephone_number": "802-722-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 US ROUTE 5",
            "address_2": "SOJOURNS COMMUNITY HEALTH CLINIC",
            "city": "WESTMINSTER",
            "state": "VT",
            "postal_code": "051589651",
            "telephone_number": "802-722-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON-OSHKELLO",
        "first_name": "STACEY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074-0000212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, VT

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.