Fixer Upper Fitness LLC
NPI 1477160430ActiveOrganization· Dietitian, Registered· Salisbury, MD
Dietitian, Registered in Salisbury, Maryland, registered in NPPES in September 2020. The authorized official on file is Gwyneth Bradshaw, RD, Registered Dietitian. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477160430 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2020 |
| Last updated in NPPES | Jan 28, 2021 |
| Certified by provider | Jan 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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