Individual provider Active NPI

Kerry Elisabeth St. Pierre, MS, MA, CDN

  • Nutritionist
  • Stamford, CT
National Provider Identifier
1902531668
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
1200 High Ridge Rd
Stamford, CT 06905-1223
Phone
(212) 589-8902
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X CT Primary

Addresses

Primary practice location

1200 High Ridge Rd
Stamford, CT 06905-1223

Mailing address

248 Thornwood Rd
Stamford, CT 06903-2601
Phone (203) 724-9347

Other practice location 1

248 Thornwood Rd
Stamford, CT 06903-2601
Phone (203) 724-9347

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.nutritionattache.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520002213 CT Practitioner - Registered Dietitian Or Nutrition Professional 5799127908 Practice locations: Stamford, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Nutrition Attache Nutritionist CurrentSince Jan 14, 2024 Accepting new patients

Locations

1200 High Ridge Rd
Fl 2
Stamford, CT 06905
Phone (212) 589-8902

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1902531668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 THORNWOOD RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069032601",
            "telephone_number": "203-724-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051223",
            "telephone_number": "212-589-8902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 Thornwood Rd",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069032601",
            "country_code": "US",
            "telephone_number": "203-724-9347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. PIERRE",
        "first_name": "KERRY",
        "middle_name": "ELISABETH",
        "credential": "MS, MA, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nutritionattache.com",
            "affiliation": "N",
            "endpointDescription": "business website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "248 Thornwood Rd",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069032601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.

Verify at the official NPI Registry.