Active NPI
Judith Marie Fitzhugh, RDN, CDE, LDN, CD
- Registered Dietitian
- La Porte, IN
National Provider Identifier
1114460102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- CDR#836541
- Practice address
- 1775 S. Basswood Trail
Laporte, IN 46350 - Phone
- (219) 309-1577
- NPI assigned
- Nov 23, 2016
- Last updated
- Jan 19, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37000345A | IN | |
| Registered Dietitian | 133V00000X | 1640045A | IL | |
| Registered Dietitian | 133V00000X | CDR#836541 | Primary |
Addresses
Primary practice location
1775 S. Basswood Trail
Laporte, IN 46350
Mailing address
1775 S. Basswood Trail
Laporte, IN 46350
Phone (219) 309-1577
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 |
|---|---|---|---|
| 1640045A | IL | MD | Registered Dietitian |
| 37000345A | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitiancare, LLC | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1114460102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 S. BASSWOOD TRAIL",
"city": "LAPORTE",
"state": "IN",
"postal_code": "46350",
"telephone_number": "219-309-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 S. BASSWOOD TRAIL",
"city": "LAPORTE",
"state": "IN",
"postal_code": "46350",
"telephone_number": "219-309-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZHUGH",
"first_name": "JUDITH",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RDN, CDE, LDN, CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-23",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37000345A",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "1640045A",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "CDR#836541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Porte, IN
- Olga Felton, RN, HN-BC
- Jessica Lynne Fiehler, NP
- Scott P Fielder, MD
- Fabienne Fify
- First Words Speech Therapy
- Heather Fix
- Rose Marie Flinchum, CNS, RN
- Alison Ann Flora, LCSW
- FMS Nephrology Partners North Central Indiana Dialysis Centers, LLC (Fresenius Medical Care Nephrology Laporte)
- Anna Foglesong
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.