Individual provider Active NPI

Brianna Frutchey, RD

  • Registered Dietitian
  • Virginia Beach, VA
National Provider Identifier
1023769932
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX5529 Issued in MD
Practice address
848 First Colonial Rd Ste B
Virginia Beach, VA 23451-6126
Phone
(757) 422-4728
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX5529 MD Primary

Addresses

Primary practice location

848 First Colonial Rd Ste B
Virginia Beach, VA 23451-6126

Mailing address

848 First Colonial Rd Ste B
Virginia Beach, VA 23451-6126
Phone (443) 977-7511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brianna@jimwhitefit.com Health Information Exchange (HIE) JWF Nutrition, LLC

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

LicenseStateTypeSpecialty
DX5529MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
JWF Nutrition, LLC Dietitian, Registered CurrentSince Feb 2, 2022 Accepting new patients

Locations

115 College Pl
Ste A
Norfolk, VA 23510
Phone (757) 340-3200

848 First Colonial Rd
#B
Virginia Beach, VA 23451
Phone (757) 422-4725

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1023769932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 FIRST COLONIAL RD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516126",
            "telephone_number": "443-977-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 FIRST COLONIAL RD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516126",
            "telephone_number": "757-422-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUTCHEY",
        "first_name": "BRIANNA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX5529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brianna@jimwhitefit.com",
            "affiliation": "Y",
            "affiliationName": "JWF Nutrition, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct messaging",
            "address_1": "848 First Colonial Rd Ste B",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234516126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.