FAY NUTRITION
NPI 1104334465
Dietitian, Registered in San Francisco, CA

Active since January 19, 2018
1390 MARKET ST STE 200, SAN FRANCISCO, CA 94102(630) 635-5950 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 12, 2024, Apr 1, 2023, Jan 19, 2018 (3 updates tracked since 2018).

About Fay Nutrition NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAY NUTRITION (NPI 1104334465) is a healthcare organization registered as a dietitian, registered in San Francisco, California and active in the NPI registry since January 2018. The organization maintains 3 additional practice locations and lists Rita Faycurry, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1104334465
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameFAY NUTRITION
Location Address1390 MARKET ST STE 200San Francisco, CA 94102-5404
Mailing Address111 North AveBarrington, IL 60010-3282 · (630) 635-5950
Organization SubpartNo
Authorized OfficialRita FaycurryPractice Manager · (630) 635-5950
Enumeration DateJanuary 19, 2018
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1104334465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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 the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1390 MARKET ST STE 200, San Francisco, CA 94102

Secondary Practice Locations 3

Location 11900 E Golf Rd Ste 905Schaumburg, IL 60173-5834 · Phone (630) 635-5950
Location 2111 North AveBarrington, IL 60010-3282 · Phone (630) 635-5950
Location 3113 S Monroe St Fl 1Tallahassee, FL 32301-1529 · Phone (630) 635-5950

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fay Nutrition is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fay Nutrition, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1740639830
113 SOUTH MONROE STREET FIRST FLOOR
Tallahassee, FL 32301
(630) 635-5950
2,228 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fay Nutrition's NPI number?

The NPI number for Fay Nutrition is 1104334465. It was assigned to this organization in the NPPES registry on January 19, 2018.

Where is Fay Nutrition located?

Fay Nutrition is located at 1390 Market St Ste 200, San Francisco, CA 94102. The listed phone number is (630) 635-5950.

What is Fay Nutrition's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Fay Nutrition enrolled in Medicare?

Yes. Fay Nutrition is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fay Nutrition?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Fay Nutrition. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fay Nutrition accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 3 other insurers list Fay Nutrition as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fay Nutrition was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.