Active NPI
Joseph Thomas Frost, R.D.
- Nutrition Education Nutritionist
- Ketchikan, AK
National Provider Identifier
1407987456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- DI00001355
- Practice address
- 2960 Tongass Ave
Suite 403
Ketchikan, AK 99901-5742 - Phone
- (907) 228-4902
- Fax
- (907) 228-5256
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | DI00001355 | WA | Primary |
Addresses
Primary practice location
2960 Tongass Ave
Suite 403
Ketchikan, AK 99901-5742
Mailing address
2960 Tongass Ave
Suite 403
Ketchikan, AK 99901-5742
Phone (907) 228-4902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888820 | Other | AK | CDR |
Other names 1
- Joe Thomas Frost
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00001355 | WA | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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.
-
- Registered Dietitian
- Austin, TX
- NPI 1558097824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407987456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 TONGASS AVE",
"address_2": "SUITE 403",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015742",
"telephone_number": "907-228-4902",
"fax_number": "907-228-5256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 TONGASS AVE",
"address_2": "SUITE 403",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015742",
"telephone_number": "907-228-4902",
"fax_number": "907-228-5256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "JOSEPH",
"middle_name": "THOMAS",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "WA",
"license": "DI00001355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "888820",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "FROST",
"middle_name": "THOMAS",
"credential": "R.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.