Malorie Nicole Fry, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86099419 Issued in FL

Practice address

13300 S Cleveland Ave Ste 23
Fort Myers, FL 33907-3877

Phone

(239) 464-6133

NPI assigned

May 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1558983320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 HIBISCUS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017713",
            "telephone_number": "239-464-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 S CLEVELAND AVE STE 23",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073877",
            "telephone_number": "239-464-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "MALORIE",
        "middle_name": "NICOLE",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "86099419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Frommelt, DPT
• Gena Frontilus
• Colleen Frost
• Karen A Frost, APRN
• Joshua Fry, ARNP
• Olivia Fry, RMHCI
• FS Tenant Pool IV Trust
• FSQ the Palms at Fort Myers LLC
• Ft Myers Alf BSLC LLC
• Ft Myers Dental Service PA

• Registered Dietitian in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.