Active NPI
Annette Frain, RD
- Registered Dietitian
- Greensboro, NC
National Provider Identifier
1619038684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003245
- Practice address
- 1046 E Wendover Ave
Greensboro, NC 27405-6712 - Phone
- (336) 272-1050
- Fax
- (336) 272-1110
- NPI assigned
- Dec 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 931378 | NJ | |
| Registered Dietitian | 133V00000X | L003245 | NC | Primary |
Addresses
Primary practice location
1046 E Wendover Ave
Greensboro, NC 27405-6712
Mailing address
1046 E Wendover Ave
Greensboro, NC 27405-6712
Phone (336) 272-1050
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2650473 | Other | NJ | UNITED HEALTHCARE |
| 7654551 | Other | NJ | AETNA |
| 200397267 | Other | NJ | CIGNA |
| 200397267 | Other | NJ | HORIZON BCBS-NJ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 931378 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingley Health Services NJ LLC | Past | Accepting new patients | |
| Mindful Eating Company LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1619038684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 E WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056712",
"telephone_number": "336-272-1050",
"fax_number": "336-272-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 E WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056712",
"telephone_number": "336-272-1050",
"fax_number": "336-272-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAIN",
"first_name": "ANNETTE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "931378",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2650473",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7654551",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "200397267",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BCBS-NJ",
"identifier": "200397267",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.