Active NPI
Megan Fraser, NUTRITIONIST
- Nutritionist
- Brewer, ME
National Provider Identifier
1396970588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 10 Willow Way
Brewer, ME 04412-1339 - Phone
- (207) 949-1334
- Fax
- (207) 862-8064
- NPI assigned
- May 18, 2009
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
10 Willow Way
Brewer, ME 04412-1339
Mailing address
10 Willow Way
Brewer, ME 04412-1339
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1396970588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WILLOW WAY",
"city": "BREWER",
"state": "ME",
"postal_code": "044121339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WILLOW WAY",
"city": "BREWER",
"state": "ME",
"postal_code": "044121339",
"telephone_number": "207-949-1334",
"fax_number": "207-862-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "MEGAN",
"name_prefix": "Miss",
"credential": "NUTRITIONIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.