Jean Ellen Ashcraft-Pfarr, R.D.N., L.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

705874 Issued in IL

Practice address

4146 Broken Hill Rd
Winnemucca, NV 89445-3956

Phone

(775) 623-3605

Fax

(775) 623-3956

NPI assigned

Oct 7, 2010

Last updated

Aug 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1164732228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 BROKEN HILL RD",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 BROKEN HILL RD",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453956",
            "telephone_number": "775-623-3605",
            "fax_number": "775-623-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHCRAFT-PFARR",
        "first_name": "JEAN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "R.D.N., L.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "705874",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0036",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "31978DI-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Winnemucca, NV
• Providers in Winnemucca, NV by specialty
• Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.