Maryellen Conway, R.D.
NPI 1639236482ActiveIndividual· Dietitian, Registered· Bridgeport, CT
Dietitian, Registered (R.D.) in Bridgeport, Connecticut, licensed in CT, with an NPI issued in January 2007. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1639236482 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.D. |
| Sole proprietor | No |
| NPI issued | Jan 2, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 000765 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NH) |
|---|
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