IndividualActive
Maryann Hagberg, RD,CDN
NPI 1851573687 · Dietary Manager · Derby, CT
Provider details
- NPI number
- 1851573687
- Entity type
- Individual
- Primary specialty
- Dietary ManagerDietary & Nutritional Service Providers
- Credential
- RD,CDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 000814 (CT)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 Division St
Derby, CT 06418-1326
Phone: (203) 732-7585
Approximate (ZIP-level) locationGet directions
Mailing address
106 Sabal Dr
Waterbury, CT 06708-2166
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2008-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.