Jodi Anne Fulayter in Joliet - Dietitian, Registered
Jodi Anne Fulayter - NPI 1629107495
Jodi Anne Fulayter is a Dietitian, Registered in Joliet, Illinois. Jodi Anne Fulayter practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jodi Anne Fulayter is 1629107495. The last update date is 2023-08-09.
Jodi Anne Fulayter's current location address is 2902 Campbell St, Joliet, Illinois. You can contact this provider via phone number 7082613463 and fax number 8157442707. The mailing address for Jodi Anne Fulayter is 2902 Campbell St, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Anne Fulayter |
|---|---|
| Address | 2902 Campbell St, Joliet, Illinois |
| Phone Number | 7082613463 |
| Fax Number | 8157442707 |
| Sole Proprietor | Y |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1629107495 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2023-08-09 |
Provider Mailing Address Detail
| Address | 2902 Campbell St |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604356492 |
| Phone Number | 7082613463 |
| Fax Number | 8157442707 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 164003007 |
|
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9932114 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jodi Anne Fulayter by the Centers for Medicare & Medicaid Services?
The Jodi Anne Fulayter has been issued the NPI (National Provider Identifier) 1629107495 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jodi Anne Fulayter is geographically located?
The Jodi Anne Fulayter is physically situated at the following location: 2902 Campbell St, Joliet, IL, 604356492.
What is Jodi Anne Fulayter's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jodi Anne Fulayter is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date did the Jodi Anne Fulayter receive its 1629107495 assignment from the Centers for Medicare & Medicaid Services?
The Jodi Anne Fulayter was assigned its 1629107495 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the Jodi Anne Fulayter's information last updated?
The Jodi Anne Fulayter's information was last updated on 2023-08-09.
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