Individual provider Active NPI

Jennifer Defrain, MS, RD

  • Registered Dietitian
  • Newport Beach, CA
National Provider Identifier
1407168214
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
811508
Practice address
1100 Quail St
Suite #110
Newport Beach, CA 92660-2701
Phone
(949) 874-3438
Fax
(866) 372-1190
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 811508
Registered Dietitian 133V00000X 811508 Primary
Metabolic Nutrition Registered Dietitian 133VN1006X 811508

Addresses

Primary practice location

1100 Quail St
Suite #110
Newport Beach, CA 92660-2701

Mailing address

1100 Quail St
Suite #110
Newport Beach, CA 92660-2701
Phone (949) 874-3438

Other names 1

  • Jennifer Defrain Former name

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Dietitians of Orange County Nutrition, Education Past Accepting new patients

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1407168214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 QUAIL ST",
            "address_2": "SUITE #110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602701",
            "telephone_number": "949-874-3438",
            "fax_number": "866-372-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 QUAIL ST",
            "address_2": "SUITE #110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602701",
            "telephone_number": "949-874-3438",
            "fax_number": "866-372-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRAIN",
        "first_name": "JENNIFER",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": "811508",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "811508",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": "811508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DEFRAIN",
            "credential": "MS, RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.