Active NPI
Jane E Wojak
- Registered Dietitian
- Terre Haute, IN
National Provider Identifier
1033790324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 473311
- Practice address
- 1120 E Davis Dr
Terre Haute, IN 47802-4183 - Phone
- (812) 242-4600
- NPI assigned
- Apr 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 473311 | IN | Primary |
Addresses
Primary practice location
1120 E Davis Dr
Terre Haute, IN 47802-4183
Mailing address
1330 Candlewood Cir
Terre Haute, IN 47802-9351
Phone (812) 249-6492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 473311 | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618704000000",
"number": "1033790324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 CANDLEWOOD CIR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478029351",
"telephone_number": "812-249-6492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 E DAVIS DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024183",
"telephone_number": "812-242-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJAK",
"first_name": "JANE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-18",
"last_updated": "2021-04-18",
"certification_date": "2021-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "473311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.