Active NPI
Jennifer Fagan, RD
- Registered Dietitian
- Henrico, VA
National Provider Identifier
1356689608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2727 Enterprise Pkwy
Suite 100
Henrico, VA 23294-6341 - Phone
- (804) 864-1998
- Fax
- (804) 864-1997
- NPI assigned
- Jan 22, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2727 Enterprise Pkwy
Suite 100
Henrico, VA 23294-6341
Mailing address
2727 Enterprise Pkwy
Suite 100
Henrico, VA 23294-6341
Phone (804) 864-1998
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Nutrition | Dietitian, Registered | Current | Accepting new patients |
Locations
2727 Enterprise Pkwy
Ste 100
Richmond, VA 23294
Phone (804) 536-9998
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1356689608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 ENTERPRISE PKWY",
"address_2": "SUITE 100",
"city": "HENRICO",
"state": "VA",
"postal_code": "232946341",
"telephone_number": "804-864-1998",
"fax_number": "804-864-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 ENTERPRISE PKWY",
"address_2": "SUITE 100",
"city": "HENRICO",
"state": "VA",
"postal_code": "232946341",
"telephone_number": "804-864-1998",
"fax_number": "804-864-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGAN",
"first_name": "JENNIFER",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.