Mary Margaret Fraser, MS, RD, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86076744 Issued in NY

Practice address

152 Hicks St
Brooklyn, NY 11201-2303

Phone

(917) 704-2429

NPI assigned

Feb 22, 2022

Last updated

Feb 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1962158584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MONTAGUE ST # 394",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013548",
            "telephone_number": "917-232-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 HICKS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012303",
            "telephone_number": "917-704-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "MS, RD, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86076744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Fraser
• Jacqueline Beatrice Fraser, LPN
• Kamilah Sonia Fraser, LPN
• Kevin Omar Fraser Sr.
• Kristen Fraser
• Natalie Leeandra Fraser
• Shaniece Sallie Fraser, LMSW
• Shannell Fraser
• Skye Fraser, MSPED
• Tanisha Natoya Fraser

• Registered Dietitian in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.