Active NPI
Sherri Frey Ludwig, MSRD
- Registered Dietitian
- Fairfield, CA
National Provider Identifier
1578870804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 727731
- Practice address
- 710 Adagio Dr
Fairfield, CA 94534-4112 - Phone
- (707) 410-6238
- Fax
- (707) 207-0125
- NPI assigned
- Sep 8, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 727731 | KS | Primary |
| Renal Nutrition Registered Dietitian | 133VN1005X | 727731 | KS |
Addresses
Primary practice location
710 Adagio Dr
Fairfield, CA 94534-4112
Mailing address
710 Adagio Dr
Fairfield, CA 94534-4112
Phone (707) 410-6238
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 727731 | KS | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1578870804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 ADAGIO DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945344112",
"telephone_number": "707-410-6238",
"fax_number": "707-207-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 ADAGIO DR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945344112",
"telephone_number": "707-410-6238",
"fax_number": "707-207-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY LUDWIG",
"first_name": "SHERRI",
"credential": "MSRD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "727731",
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "KS",
"license": "727731",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.