Active NPI
Kerry Elisabeth St. Pierre, MS, MA, CDN
- Nutritionist
- Stamford, CT
National Provider Identifier
1902531668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- 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
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 |
|---|---|---|---|---|
| Nutritionist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.nutritionattache.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nutrition Attache | Nutritionist | Current | 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.
-
- Nutritionist
- Stamford, CT
- NPI 1689445561
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.