1841442027 NPI number — MRS. KARANN DURR RD, CDN

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841442027 NPI number — MRS. KARANN DURR RD, CDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DURR
Provider First Name:
KARANN
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RD, CDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841442027
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/09/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
80 SEYMOUR STREET
Provider Second Line Business Mailing Address:
HARTFORD HOSPITAL FOOD & NUTRITION
Provider Business Mailing Address City Name:
HARTFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06102-8000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-975-2604
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
42 ST JOHNS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GANSEVOORT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12831-2342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-221-6577
Provider Business Practice Location Address Fax Number:
518-226-0984
Provider Enumeration Date:
10/19/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  001879 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 133V00000X , with the licence number: 005360-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)