Active NPI
Jennifer Fritzsche, LLC
- Clinic/Center
- Portland, OR
National Provider Identifier
1437592375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- JENNIFER FRITZSCHE, LLC
- Practice address
- 3335 NE 53Rd Ave
Portland, OR 97213-2461 - Phone
- (503) 750-1896
- NPI assigned
- Apr 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer R. Fritzsche, RD, CSR, LD
- Title
- Registered Dietitian
- Phone
- (503) 750-1896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
3335 NE 53Rd Ave
Portland, OR 97213-2461
Mailing address
3335 NE 53Rd Ave
Portland, OR 97213-2461
Phone (503) 750-1896
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365552000000",
"number": "1437592375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3335 NE 53RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132461",
"telephone_number": "503-750-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3335 NE 53RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132461",
"telephone_number": "503-750-1896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER FRITZSCHE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-10",
"last_updated": "2013-04-10",
"status": "A",
"authorized_official_last_name": "FRITZSCHE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "503-750-1896",
"authorized_official_credential": "RD, CSR, LD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.