Active NPI
Debra Lee Fix, R.D.
- Nutritionist
- Forsyth, MT
National Provider Identifier
1053603746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 563
- Practice address
- 383 North 17TH Street
Forsyth, MT 59327 - Phone
- (406) 346-4233
- NPI assigned
- May 12, 2011
- Last updated
- May 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 563 | MT | Primary |
Addresses
Primary practice location
383 North 17TH Street
Forsyth, MT 59327
Mailing address
1198 Tongue River Rd
Miles City, MT 59301-6212
Phone (406) 421-5460
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 563 | MT | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1053603746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1198 TONGUE RIVER RD",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593016212",
"telephone_number": "406-421-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 NORTH 17TH STREET",
"city": "FORSYTH",
"state": "MT",
"postal_code": "59327",
"telephone_number": "406-346-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIX",
"first_name": "DEBRA",
"middle_name": "LEE",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MT",
"license": "563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forsyth, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.