JEROME FOSAAEN RD, LD/N
NPI 1265830343
Dietitian, Registered in Saint Augustine, FL

Active since December 05, 2014
1605 SANTA MARIE CT, SAINT AUGUSTINE, FL 32080(904) 417-7344 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Dietitian, Registered

About JEROME FOSAAEN

This page provides the complete NPI Profile along with additional information for Jerome Fosaaen, a provider established in Saint Augustine, Florida with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1265830343 assigned on December 2014. The practitioner's primary taxonomy code is 133V00000X with license number ND4527 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1265830343 Verify this NPI
Provider Name
JEROME FOSAAEN RD, LD/N
Gender
Male
Entity Type
Individual
Location Address
1605 SANTA MARIE CT SAINT AUGUSTINE, FL 32080
Location Phone
(904) 417-7344
Mailing Address
1605 SANTA MARIE CT SAINT AUGUSTINE, FL 32080
Mailing Phone
(904) 417-7344
Is Sole Proprietor?
Yes
Enumeration Date
12-05-2014
Last Update Date
12-05-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
ND4527
License State
FL
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265830343, enumerated as an "individual" on December 05, 2014.

The provider is located at 1605 SANTA MARIE CT SAINT AUGUSTINE, FL 32080 and the phone number is (904) 417-7344.

Dietitian, Registered with taxonomy code 133V00000X.