The Fare Square, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60578253 Issued in WA

Legal business name

THE FARE SQUARE, LLC

Practice address

373 Martin St
Suite 204
Blaine, WA 98230-4108

Phone

(210) 289-5858

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Jessica Scott Wright, RDN, LDNNPI 1144665043

Title

Owner

Phone

(210) 289-5859

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Scott Wright, RD LD

  • Registered Dietitian
  • Blaine, WA
  • NPI 1144665043

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463788800000",
    "number": "1659741726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 MARTIN ST",
            "address_2": "SUITE 204",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304108",
            "telephone_number": "210-289-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 MARTIN ST",
            "address_2": "SUITE 204",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304108",
            "telephone_number": "210-289-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FARE SQUARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2016-05-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-289-5859",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60578253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ian Van Niman

• Registered Dietitian in Blaine, WA
• Providers in Blaine, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.