Active NPI
Claudia J Fruin, MD
- Pediatrics Physician
- Salt Lake City, UT
National Provider Identifier
1619959319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 181369-1205
- Practice address
- 44 N. Mario Capecchi Dr
Salt Lake City, UT 84113-1105 - Phone
- (801) 584-8271
- Fax
- (801) 584-8488
- NPI assigned
- Nov 17, 2005
- Last updated
- Feb 22, 2016
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 181369-1205 | UT | Primary |
Addresses
Primary practice location
44 N. Mario Capecchi Dr
Salt Lake City, UT 84113-1105
Mailing address
44 N. Medical Dr.
PO Box 144610
Salt Lake City, UT 84113
Phone (801) 584-8271
Other names 1
- Claudia M Jerit
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181369-1205 | UT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1619959319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 N. MEDICAL DR.",
"address_2": "PO BOX 144610",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84113",
"telephone_number": "801-584-8271",
"fax_number": "801-584-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 N. MARIO CAPECCHI DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841131105",
"telephone_number": "801-584-8271",
"fax_number": "801-584-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUIN",
"first_name": "CLAUDIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "181369-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLAUDIA",
"last_name": "JERIT",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.