Individual provider Active NPI

Erica Georgianne Kasuli, MS, RD, CDN

  • Registered Dietitian
  • Ridgefield, CT
National Provider Identifier
1942570569
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
001076 Issued in CT
Practice address
158 Danbury Rd
Suite 4
Ridgefield, CT 06877-3227
Phone
(917) 284-0277
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 001076 CT
Nutritionist 133N00000X 001076 CT
Nutrition Education Nutritionist 133NN1002X 001076 CT
Registered Dietitian 133V00000X 001076 CT Primary
Pediatric Nutrition Registered Dietitian 133VN1004X 001076 CT
Metabolic Nutrition Registered Dietitian 133VN1006X 001076 CT

Addresses

Primary practice location

158 Danbury Rd
Suite 4
Ridgefield, CT 06877-3227

Mailing address

65 Spring Valley Rd
Ridgefield, CT 06877-1218
Phone (917) 284-0277

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001076CTMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1942570569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SPRING VALLEY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068771218",
            "telephone_number": "917-284-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 DANBURY RD",
            "address_2": "SUITE 4",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773227",
            "telephone_number": "917-284-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASULI",
        "first_name": "ERICA",
        "middle_name": "GEORGIANNE",
        "name_prefix": "Miss",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "001076",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "001076",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CT",
            "license": "001076",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "001076",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "CT",
            "license": "001076",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CT",
            "license": "001076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.