Active NPI
Kristen Bischoff
- Registered Dietitian
- Fort Wayne, IN
National Provider Identifier
1861846636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37001034A
- Practice address
- 3909 New Vision Dr
Fort Wayne, IN 46845-1725 - Phone
- (260) 469-6602
- Fax
- (260) 969-3065
- NPI assigned
- Apr 19, 2016
- 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 | 37001034A | IN | Primary |
Addresses
Primary practice location
3909 New Vision Dr
Fort Wayne, IN 46845-1725
Mailing address
3926 New Vision Dr
Fort Wayne, IN 46845-1712
Phone (260) 266-8210
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37001034A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1861846636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3926 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451712",
"telephone_number": "260-266-8210",
"fax_number": "260-458-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451725",
"telephone_number": "260-469-6602",
"fax_number": "260-969-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISCHOFF",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37001034A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.