Active NPIIndividual providerSole proprietor

Amy Destefano, RD

Dietitian, Registered in Prospect, Connecticut

NPI Number1972423010
Practice location
2 Karyl Ln, Prospect, CT 06712-1203
Fax
—
Last updated
July 20, 2026

Amy Destefano is a Dietitian, Registered based in Prospect, CT. Amy Destefano practices in Prospect, CT and has the professional credentials of RD. The NPI Number for Amy Destefano is 1972423010 and holds a License No. 002224 (CT). The current practice location address for Amy Destefano is 2 Karyl Ln, Prospect, CT 06712-1203 and can be reached out via phone at 203-928-9514.

Provider Profile Details

NPI Number
1972423010
Provider Name
Amy Destefano
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
2 Karyl Ln, Prospect, CT 06712-1203
Phone Number
203-928-9514
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 20, 2026
Last Update Date
July 20, 2026
Certification Date
July 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Karyl Ln
Prospect, CT 06712-1203
Zip
06712-1203
Phone Number
203-928-9514
Prospect, CT 06712Get directions →

Provider Business Mailing Address Details

Address
2 Karyl Ln
Prospect, CT 06712-1203
City
Prospect
State
CT
Zip
06712-1203

License Information

License Number
002224
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amy Destefano, RD?

The NPI number of Amy Destefano, RD is 1972423010. It was assigned on July 20, 2026 and is currently active in the NPPES registry.

What is the specialty of Amy Destefano, RD?

Amy Destefano, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 002224.

Where does Amy Destefano, RD practice?

The practice location is 2 Karyl Ln, Prospect, CT 06712-1203. The office can be reached at 203-928-9514 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972423010 directly on the NPPES registry website.

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