TRAVIS MICHAEL FRY (NPI# 1679967061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679967061 |
| Entity Type | Individual |
| Full Name | TRAVIS MICHAEL FRY |
| Practice Address |
404 S Sutherland Ave Monroe NC 28112-5060 |
| Practice Telephone | 7042919267 |
| Practice Fax Number | 7042837939 |
| Mailing Telephone | 7042919267 |
| Mailing Fax Number | 7042837939 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L004405 | NC | Dietary & Nutritional Service Providers |
| Street Address |
404 S SUTHERLAND AVE |
| City | MONROE |
| State | NC |
| Zip Code | 28112-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730148115 | Lakshmi Chalavadi | Internal Medicine | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2006-03-22 |
| 1285234203 | India Blandon Richardson | Nurse Practitioner | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2020-10-28 |
| 1346854544 | Briana Anderson | Nurse Practitioner | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2020-09-04 |
| 1235740945 | Ratna Acharya | Nurse Practitioner | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2020-08-14 |
| 1851924443 | Rahel Admassu Ayalew | Family Medicine | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2020-02-21 |
| 1467091272 | Kelly Rockholt Karagounis | Nurse Practitioner | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2019-12-26 |
| 1366086027 | Mari Peach Looney | Nurse Practitioner | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2019-11-05 |
| 1871153544 | Shejal Bhakta | Nurse Practitioner | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2019-06-16 |
| 1578129151 | Tammy Graves Ward | Nurse Practitioner | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2019-05-19 |
| 1902321425 | Erin Marie Bentley | Physician Assistant | 404 S Sutherland Ave, Monroe, NC 28112-5060 | 2017-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707759 | Bonnie C Guerriero | Dietitian, Registered | 3217 Claiborne Cir, Monroe, LA 71201-2007 | 2020-10-14 |
| 1942811559 | Madeline Shane Gebhardt | Dietitian, Registered | 407 Fox Den Trl, Monroe, LA 71203-6016 | 2020-08-17 |
| 1053943225 | Jill Ann Mongene | Dietitian, Registered | 4295 Keisling Ridge Rd, Monroe, TN 38573 | 2020-02-06 |
| 1568026268 | Tracie Via | Dietitian, Registered | 1421 Bluff Creek Trl, Monroe, GA 30656-8640 | 2019-04-28 |
| 1649743519 | Mariel Hope Anderson | Dietitian, Registered | 1100 N 18th St Ste 104, Monroe, LA 71201-5781 | 2019-01-03 |
| 1598253668 | 123 Nutrition, L.L.C. | Dietitian, Registered | 2715 Gusty Ln, Monroe, NC 28110-8001 | 2018-04-24 |
| 1215471099 | Jamie Levy | Dietitian, Registered | 70 Christianna Dr, Monroe, CT 06468-3104 | 2016-12-13 |
| 1699198283 | Dana Helean Pryor | Dietitian, Registered | 2307 Rainbrook Dr, Monroe, NC 28112-8045 | 2014-02-02 |
| 1740521848 | Tracy Kuzava | Dietitian, Registered | 843 Lopez Ln, Monroe, GA 30655-8487 | 2013-03-14 |
| 1750667481 | Affinity Health Group, LLC | Dietitian, Registered | 2408 Broadmoor Blvd Ste B, Monroe, LA 71201-2994 | 2011-10-26 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.