Organization Active NPI

Dana J Fryer Nutrition LLC

  • Health Service Clinic/Center
  • Brookline, MA
National Provider Identifier
1215612759
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DANA J FRYER NUTRITION LLC
Practice address
96 Naples Rd Apt 5
Brookline, MA 02446-5735
Phone
(203) 450-4309
NPI assigned
Jun 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Dana Jennifer Fryer, RDNPI 1568061844
Title
Owner, Registered Dietitian
Phone
(203) 450-4309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

96 Naples Rd Apt 5
Brookline, MA 02446-5735

Mailing address

258 Harvard St # 342
Brookline, MA 02446-2904

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1215612759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HARVARD ST # 342",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 NAPLES RD APT 5",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465735",
            "telephone_number": "203-450-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA J FRYER NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "FRYER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "203-450-4309",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.