Individual provider Active NPI

Emily Fonnesbeck, RD

  • Registered Dietitian
  • Saint George, UT
National Provider Identifier
1083952048
Registry record updated Jan 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
8401341-4901 Issued in UT
Practice address
250 S 300 E Apt 5
Saint George, UT 84770-3664
Phone
(435) 229-4971
Fax
(888) 320-0025
NPI assigned
Jan 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2013

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 8401341-4901 UT Primary

Addresses

Primary practice location

250 S 300 E Apt 5
Saint George, UT 84770-3664

Mailing address

250 S 300 E Apt 5
Saint George, UT 84770-3664
Phone (435) 229-4971

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

NPI Registry JSON

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

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359158400000",
    "number": "1083952048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S 300 E APT 5",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703664",
            "telephone_number": "435-229-4971",
            "fax_number": "888-320-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 300 E APT 5",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703664",
            "telephone_number": "435-229-4971",
            "fax_number": "888-320-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONNESBECK",
        "first_name": "EMILY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-26",
        "last_updated": "2013-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "8401341-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.