Active NPI
Olivera Schmeelk, RD
- Registered Dietitian
- Woodstock, CT
National Provider Identifier
1982149464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001473
- Practice address
- 158 Route 171
Woodstock, CT 06281-3123 - Phone
- (860) 942-7644
- NPI assigned
- Dec 20, 2016
- Last updated
- Nov 26, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00891 | RI | |
| Registered Dietitian | 133V00000X | 4179 | MA | |
| Registered Dietitian | 133V00000X | 001473 | CT | Primary |
Addresses
Primary practice location
158 Route 171
Woodstock, CT 06281-3123
Mailing address
PO Box 17
Thompson, CT 06277-0017
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 |
|---|---|---|---|
| 4179 | MA | MD | Clinical Psychologist |
| LDN00891 | RI | MD | Registered Dietitian |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Woodstock, CT
- NPI 1336805118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1982149464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17",
"city": "THOMPSON",
"state": "CT",
"postal_code": "062770017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 ROUTE 171",
"city": "WOODSTOCK",
"state": "CT",
"postal_code": "062813123",
"telephone_number": "860-942-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMEELK",
"first_name": "OLIVERA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN00891",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4179",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "001473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.