What is Mary Vanfossan's NPI number?

Mary Vanfossan's National Provider Identifier (NPI) is 1063714517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mary Vanfossan's specialty?

Mary Vanfossan is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Mary Vanfossan located?

Mary Vanfossan's practice location on file with NPPES is 200 Mission Blvd, Jackson, CA 95642-2564.

What is Mary Vanfossan's phone number?

The practice phone number listed in the NPPES registry for Mary Vanfossan is (209) 257-7635.

Is Mary Vanfossan's NPI active?

Yes — Mary Vanfossan's NPI (1063714517) is active in the NPPES registry as of the last update on 2010-12-03.

IndividualActive

Mary Vanfossan, RD

NPI 1063714517 · Registered Dietitian · Jackson, CA

Mary Vanfossan, RD is a Registered Dietitian provider in Jackson, CA (NPI 1063714517).

Provider details

NPI number: 1063714517
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: RD
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Registered DietitianPrimary133V00000X
Dietary & Nutritional Service Providers

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

200 Mission Blvd

Jackson, CA 95642-2564

Phone: (209) 257-7635

Street-level locationGet directions

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Mailing address