Organization Active NPI

Jennifer Fritzsche, LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1437592375
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Apr 10, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.