Active NPI
Jennifer E Burns, RD/LD
- Registered Dietitian
- Moraine, OH
National Provider Identifier
1063658672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD 5329
- Practice address
- 2912 Springboro W
Suite 201
Moraine, OH 45439-1674 - Phone
- (937) 297-8999
- Fax
- (937) 297-9673
- NPI assigned
- Jan 2, 2009
- Last updated
- Jan 2, 2009
- 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 | LD 5329 | OH | Primary |
Addresses
Primary practice location
2912 Springboro W
Suite 201
Moraine, OH 45439-1674
Mailing address
72 N Glen Oak Dr
Springboro, OH 45066-8132
Phone (937) 885-1816
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD 5329 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230854400000",
"number": "1063658672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 N GLEN OAK DR",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450668132",
"telephone_number": "937-885-1816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 SPRINGBORO W",
"address_2": "SUITE 201",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391674",
"telephone_number": "937-297-8999",
"fax_number": "937-297-9673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "JENNIFER",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RD/LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-02",
"last_updated": "2009-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD 5329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.