Active NPI
Breann Sara Erickson, RD
- Registered Dietitian
- Shelton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 869
- Practice address
- 2 Trap Falls Rd Ste 100
Shelton, CT 06484-4616 - Phone
- (203) 926-8835
- NPI assigned
- Oct 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00869 | CT | |
| Registered Dietitian | 133V00000X | 869 | CT | Primary |
Addresses
Primary practice location
2 Trap Falls Rd Ste 100
Shelton, CT 06484-4616
Mailing address
2 Trap Falls Rd Ste 100
Shelton, CT 06484-4616
Phone (203) 926-8835
Other practice location 1
208 Valley Road
New Canaan, CT 06840
Phone (203) 869-5515
Other names 1
- Breann Farnsworth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Trap Falls Rd
Suite 100
Shelton, CT 06484-4616
Phone (203) 256-9707
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00869 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Single Specialty | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients |
Locations
2660 Main St
Ste 110
Bridgeport, CT 06606
Phone (203) 332-4744
2 Trap Falls Rd
Ste 100
Shelton, CT 06484
Phone (203) 332-4744
2 Trap Falls Rd
Ste 405
Shelton, CT 06484
Phone (203) 929-1954
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
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 and National Provider Directory roles.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Single Specialty
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1942451893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD STE 100",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844616",
"telephone_number": "203-926-8835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD STE 100",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844616",
"telephone_number": "203-926-8835"
}
],
"practiceLocations": [
{
"address_1": "208 Valley Road",
"address_purpose": "LOCATION",
"city": "New Canaan",
"state": "CT",
"postal_code": "06840",
"country_code": "US",
"telephone_number": "203-869-5515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERICKSON",
"first_name": "BREANN",
"middle_name": "SARA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "00869",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREANN",
"last_name": "FARNSWORTH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.