Active NPI
Maureen A Devlin, RD
- Registered Dietitian
- Middlebury, CT
National Provider Identifier
1962475871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000733
- Practice address
- 590 Middlebury Rd
Middlebury, CT 06762-2554 - Phone
- (203) 758-1004
- Fax
- (203) 758-1551
- NPI assigned
- Feb 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000733 | CT | Primary |
Addresses
Primary practice location
590 Middlebury Rd
Middlebury, CT 06762-2554
Mailing address
1625 Straits Tpke
Suite 301
Middlebury, CT 06762-1836
Phone (203) 573-9512
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000733 | CT | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962475871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 STRAITS TPKE",
"address_2": "SUITE 301",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067621836",
"telephone_number": "203-573-9512",
"fax_number": "203-568-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MIDDLEBURY RD",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067622554",
"telephone_number": "203-758-1004",
"fax_number": "203-758-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "MAUREEN",
"middle_name": "A",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middlebury, CT
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.