Fruit Street Health, PBC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

FRUIT STREET HEALTH, PBC

Practice address

5601 Bridge St Ste 300
Fort Worth, TX 76112-2355

Phone

(347) 647-6724

Fax

(888) 740-2155

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Laurence Girard

Title

Ceo

Phone

(347) 515-2417

Specialties & licenses 1

Addresses

Other names 1

• Fruit Street Health, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Linda Allen, R.D.

  • Registered Dietitian
  • Lewistown, MT
  • NPI 1336130137
  NPD
• Diksha Chhabra, RD

  • Registered Dietitian
  • Rochester, MI
  • NPI 1740809177
  NPD

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1770297178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122355",
            "telephone_number": "347-647-6724",
            "fax_number": "888-740-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BRIDGE ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122355",
            "telephone_number": "347-647-6724",
            "fax_number": "888-740-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUIT STREET HEALTH, PBC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "GIRARD",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-515-2417"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fruit Street Health, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Fruit Street Health, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Frontier Anesthesia Management LLC
• Frontier Medical House Call Service LLC
• Yolanda Marie Frontino
• Frood Eelani, D.O PA
• Frood Eelani, D.O.
• Kathryn Fruit, RD
• Donald Patrick Frusher, D.O.
• Rachael Frushour, PT, DPT
• Elizabeth Fry, NNP
• Rebecca A Fry, RN

• Health Educator in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Health Educator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.