Organization Active NPI

Fueling Fitness PLC

  • Registered Dietitian
  • Burlington, VT
National Provider Identifier
1649549122
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0740076077 Issued in VT
Legal business name
FUELING FITNESS PLC
Practice address
128 Lakeside Ave
Burlington, VT 05401-4939
Phone
(802) 777-9691
Fax
(216) 357-5032
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Mrs. Marcia M Bristow, MS RD CD
Title
Registered Dititian
Phone
(802) 777-9691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 0740076077 VT Primary

Addresses

Primary practice location

128 Lakeside Ave
Burlington, VT 05401-4939

Mailing address

3528 Harbor Rd
Shelburne, VT 05482-7795
Phone (802) 777-9691

National Provider Directory

National Provider Directory

Locations

128 Lakeside Ave
Burlington, VT 05401
Phone (802) 657-7000

120 Graham Way
Ste 140
Shelburne, VT 05482
Phone (802) 777-9691

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1649549122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 HARBOR RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827795",
            "telephone_number": "802-777-9691",
            "fax_number": "216-357-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LAKESIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014939",
            "telephone_number": "802-777-9691",
            "fax_number": "216-357-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUELING FITNESS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "BRISTOW",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED DITITIAN",
        "authorized_official_telephone_number": "802-777-9691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS RD CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "0740076077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.