Active NPI
Sandra Joy Fishman, MS, RD, LDN
- Registered Dietitian
- Wyomissing, PA
National Provider Identifier
1508992165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN002387
- Practice address
- 625 Spring St
Wyomissing, PA 19610-1770 - Phone
- (610) 374-1944
- NPI assigned
- Feb 26, 2007
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN002387 | PA | Primary |
Addresses
Primary practice location
625 Spring St
Wyomissing, PA 19610-1770
Mailing address
1402 Farr Rd
Reading, PA 19611-1714
Phone (610) 478-0228
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508992165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 FARR RD",
"city": "READING",
"state": "PA",
"postal_code": "196111714",
"telephone_number": "610-478-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 SPRING ST",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101770",
"telephone_number": "610-374-1944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "SANDRA",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN002387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
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.