Janice Kae Forkrud, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1601 Issued in MN

Practice address

502 2ND St SW
Suite 1
Willmar, MN 56201-3337

Phone

(320) 235-7232

NPI assigned

Jul 30, 2007

Last updated

Nov 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1326238973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 2ND ST SW",
            "address_2": "SUITE 1",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013337",
            "telephone_number": "320-235-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 2ND ST SW",
            "address_2": "SUITE 1",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013337",
            "telephone_number": "320-235-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKRUD",
        "first_name": "JANICE",
        "middle_name": "KAE",
        "name_prefix": "Ms.",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "1601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "710000133",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Flannigan, D.C.
• Crystal Lynn Fleischhacker, CNP
• Kenneth M Flowe, MD
• Keran A Flynn-Kroska, LMFT
• Jodi Michelle Fonkert, DDS
• Jessica Fredrickson, LPCC
• Fresenius Medical Care Centracare Dialysis, LLC (Fresenius Kidney Care Willmar)
• Kaia Marie Friedlund, PA-C
• Nicole M Fries, PHARMD
• Stephanie Froehlich

• Registered Dietitian in Willmar, MN
• Providers in Willmar, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.