MEDICARE: STEPHANIE FRY RN, RD, LDN, CDCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86343660	FL
2	133N00000X	Nutritionist	ND12759	FL
3	163WD0400X	Diabetes Educator Registered Nurse	9563454	FL

General Provider Information

NPI Number	:	1336978576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE FRY RN, RD, LDN, CDCES

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-9646
Fax Number	:	239-343-9681

Provider Business Practice Location Address
First Line	:	4417 AGUALINDA BLVD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-6211
Country	:	US
Telephone Number	:	239-469-0866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2024
Last Update Date	:	04/14/2026

Similar Medicare Providers

1144559832 — MS. MICHELLE NICOLE GEIRINGER-LADER
Practice Location Address:

4409 AGUALINDA BLVD
CAPE CORAL, FL
33914-6211

Practice Phone: 239-287-3989
Practice Fax:

1902762859 — GLUCOTRITION
Practice Location Address:

4417 AGUALINDA BLVD
CAPE CORAL, FL
33914-6211

Practice Phone: 239-469-0866
Practice Fax:

1588533624 — JENNA-BLAKE VEST APRN
Practice Location Address:

1708 CAPE CORAL PKWY W STE 10
CAPE CORAL, FL
33914-6985

Practice Phone: 239-541-4633
Practice Fax: 866-504-2990

1336011493 — HEALTRUE WELLNESS LLC
Practice Location Address:

627 CAPE CORAL PKWY W STE 202V208
CAPE CORAL, FL
33914-6748

Practice Phone: 239-387-0095
Practice Fax:

1518800374 — PLEASANT STICK MOBILE LAB LLC
Practice Location Address:

3111 SW 17TH AVE
CAPE CORAL, FL
33914-4976

Practice Phone: 941-500-9359
Practice Fax: 239-349-9655

1255111852 — CHABELI BENITEZ
Practice Location Address:

2441 SURFSIDE BLVD STE 202
CAPE CORAL, FL
33914-3861

Practice Phone: 239-541-7553
Practice Fax: 239-343-4256

Directions to “ STEPHANIE FRY RN, RD, LDN, CDCES” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.