Active NPI
Ariel Lynn Fry, RD
- Registered Dietitian
- West Jordan, UT
National Provider Identifier
1689042673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86008670
- Practice address
- 3584 W 9000 S
Suite 304
West Jordan, UT 84088-5710 - Phone
- (801) 601-4423
- Fax
- (801) 601-4422
- NPI assigned
- Sep 8, 2015
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86008670 | UT | Primary |
Addresses
Primary practice location
3584 W 9000 S
Suite 304
West Jordan, UT 84088-5710
Mailing address
3584 W 9000 S
Suite 304
West Jordan, UT 84088-5710
Phone (801) 601-4423
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 |
|---|---|---|---|
| 86008670 | UT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1689042673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3584 W 9000 S",
"address_2": "SUITE 304",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885710",
"telephone_number": "801-601-4423",
"fax_number": "801-601-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3584 W 9000 S",
"address_2": "SUITE 304",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885710",
"telephone_number": "801-601-4423",
"fax_number": "801-601-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "ARIEL",
"middle_name": "LYNN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "86008670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.