Trine Fairweather-Jensen, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2008028023 Issued in MO

Practice address

960 E Walnut Lawn St Ste 201
Springfield, MO 65807-7865

Phone

(417) 269-4450

NPI assigned

Dec 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1922711415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SUNNYBROOK CIR",
            "city": "FAIR GROVE",
            "state": "MO",
            "postal_code": "656488099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E WALNUT LAWN ST STE 201",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077865",
            "telephone_number": "417-269-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRWEATHER-JENSEN",
        "first_name": "TRINE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2008028023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Fain-Leslie, PH.D.
• Thomas A Fairbairn, CRNA
• Tracy D. Fairbairn, CRNA
• Brent R Fairbanks, AA
• Jane M Fairchild, MA, LPC
• Annum Faisal, MD
• Ariana Fakeri
• Gahan Fallone, LP
• Martin Thomas Falukos, DC
• Taylor Falukos, PHARMD

• Registered Dietitian in Springfield, MO
• Providers in Springfield, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.