Active NPI
Janice Lynn Mabry, MS, RD
- Gerontological Nutrition Registered Dietitian
- Delta, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontological Nutrition Registered Dietitian
- Practice address
- 1501 E 3Rd St # NA
Delta, CO 81416-2815 - Phone
- (970) 874-7681
- NPI assigned
- Jan 3, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontological Nutrition Registered Dietitian | 133VN1101X | Primary |
Addresses
Primary practice location
1501 E 3Rd St # NA
Delta, CO 81416-2815
Mailing address
100 S 13TH St Unit a
Grand Junction, CO 81501-4670
Phone (720) 425-7218
Other names 1
- Miss Janice Lynn Fordyce
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta County Memorial Hospital | Current | Accepting new patients | |
| Delta County Memorial Hospital | Current | Accepting new patients | |
| Grand River Hospital District | Current | Accepting new patients | |
| Cardinal Pathology PC | Current | Accepting new patients | |
| Grand River Hospital District | Current | Accepting new patients | |
| Grand River Hospital District | Current | Accepting new patients | |
| Delta County Memorial Hospital | Current | Accepting new patients |
Locations
1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668
1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470
201 Sipprelle Dr
Parachute, CO 81635
Phone (970) 285-5731
501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100
501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100
Organizations & group practices 8
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.
-
dba Grand River Medical Center
- Critical Access Hospital
- Rifle, CO
- NPI 1649218991
-
dba Grand River Primary Care
- Rural Health Clinic/Center
- Rifle, CO
- NPI 1124074042
-
- Anatomic Pathology & Clinical Pathology Physician
- Glenwood Springs, CO
- NPI 1356899421
-
dba Delta Health Pain Center
- Multi-Specialty Clinic/Center
- Delta, CO
- NPI 1093488272
-
dba Delta Health Urgent Care and Behavioral Health Center
- Rural Health Clinic/Center
- Delta, CO
- NPI 1629521539
-
dba Grand River Health Diabetes Prevention Program
- Health Educator
- Rifle, CO
- NPI 1194365544
-
dba Grand River Medical Center
- Critical Access Hospital Clinic/Center
- Rifle, CO
- NPI 1225296049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1568001832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S 13TH ST UNIT A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815014670",
"telephone_number": "720-425-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 3RD ST # NA",
"city": "DELTA",
"state": "CO",
"postal_code": "814162815",
"telephone_number": "970-874-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "JANICE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-03",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1101X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "FORDYCE",
"middle_name": "LYNN",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.