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NPI Code Detail

MEDICARE: ASHLEY SUSAN JEFFERS ZIPFEL RDN, LD, CLT

MEDICARE: ASHLEY SUSAN JEFFERS ZIPFEL RDN, LD, CLT
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
1133V00000XRegistered DietitianDT92851TX

General Provider Information

NPI Number : 1417327149
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY SUSAN JEFFERS ZIPFEL RDN, LD, CLT
Provider Business Mailing Address
First Line : PO BOX 818018
Second Line :
City : CLEVELAND
State : OH
Zip : 44181-8018
Country : US
Telephone Number : 561-300-2410
Fax Number :
Provider Business Practice Location Address
First Line : 6100 HARRIS PKWY STE 140
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4130
Country : US
Telephone Number : 206-895-4292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2015
Last Update Date : 02/18/2026

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