Active NPI
Zachary Fair, MPH, RD
- Registered Dietitian
- Marietta, PA
National Provider Identifier
1801627138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1057100
- Practice address
- 107 S Clay St
Marietta, PA 17547-1818 - Phone
- (720) 507-6597
- NPI assigned
- Aug 8, 2024
- Last updated
- Aug 8, 2024
- Sex
- Male
- 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 | 1057100 | NU | Primary |
Addresses
Primary practice location
107 S Clay St
Marietta, PA 17547-1818
Mailing address
107 S Clay St
Marietta, PA 17547-1818
Phone (720) 507-6597
Other practice location 1
107 S Clay St
Marietta, PA 17547-1818
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1801627138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S CLAY ST",
"city": "MARIETTA",
"state": "PA",
"postal_code": "175471818",
"telephone_number": "720-507-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S CLAY ST",
"city": "MARIETTA",
"state": "PA",
"postal_code": "175471818",
"telephone_number": "720-507-6597"
}
],
"practiceLocations": [
{
"address_1": "107 S Clay St",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "PA",
"postal_code": "175471818",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAIR",
"first_name": "ZACHARY",
"credential": "MPH, RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": "1057100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.