Active NPI
Jennifer L Lattur, RDN, CDCES
- Registered Dietitian
- Kent, OH
National Provider Identifier
1013630466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86030923
- Practice address
- 737 Avondale St
Kent, OH 44240-4503 - Phone
- (718) 926-3151
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86030923 | OH | Primary |
Addresses
Primary practice location
737 Avondale St
Kent, OH 44240-4503
Mailing address
737 Avondale St
Kent, OH 44240-4503
Phone (718) 926-3151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86030923 | OH | MD | Registered Dietitian |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Kent, OH
- NPI 1386351021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1013630466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 AVONDALE ST",
"city": "KENT",
"state": "OH",
"postal_code": "442404503",
"telephone_number": "718-926-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 AVONDALE ST",
"city": "KENT",
"state": "OH",
"postal_code": "442404503",
"telephone_number": "718-926-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTUR",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Prof.",
"credential": "RDN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "86030923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.