Active NPI
Glucotrition
- Metabolic Nutrition Registered Dietitian
- Cape Coral, FL
National Provider Identifier
1902762859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- Legal business name
- GLUCOTRITION
- Practice address
- 4417 Agualinda Blvd
Cape Coral, FL 33914-6211 - Phone
- (239) 469-0866
- NPI assigned
- Jan 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Fry, RN, RD, LDN
- Title
- President
- Phone
- (239) 469-0866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | Primary |
Addresses
Primary practice location
4417 Agualinda Blvd
Cape Coral, FL 33914-6211
Mailing address
1616 Cape Coral Pkwy W Ste 102
Cape Coral, FL 33914-8911
Phone (239) 469-0866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1616 Cape Coral Pkwy W
Ste 102
Cape Coral, FL 33914
Phone (315) 723-7279
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Cape Coral, FL
- NPI 1336978576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767571200000",
"number": "1902762859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 CAPE CORAL PKWY W STE 102",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339148911",
"telephone_number": "239-469-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 AGUALINDA BLVD",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339146211",
"telephone_number": "239-469-0866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLUCOTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-05",
"last_updated": "2026-01-05",
"certification_date": "2026-01-04",
"status": "A",
"authorized_official_last_name": "FRY",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-469-0866",
"authorized_official_credential": "RN, RD, LDN"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.