Jenniffer Alexandra Meza Jimenez, LD/N, CLC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

ND9639 Issued in FL

Practice address

1150 45TH St
West Palm Beach, FL 33407-2361

Phone

(561) 506-5693

NPI assigned

May 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1093398505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072361",
            "telephone_number": "561-506-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072361",
            "telephone_number": "561-506-5693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Southwinds Dr",
            "address_purpose": "LOCATION",
            "city": "Lantana",
            "state": "FL",
            "postal_code": "334621459",
            "country_code": "US",
            "telephone_number": "561-547-6800",
            "fax_number": "561-547-6865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZA JIMENEZ",
        "first_name": "JENNIFFER",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "LD/N, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "324440",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND9639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Stephen Metzler II, RPT
• Brittany Meurer, LCSW
• Keith Douglas Meyer, M.D.
• Mark Joseph Meyer, MD
• Pauline Meyer, M.S., CCC-SLP
• Dmitry A Mezentsev, MD
• Jokebede Mezidor
• Carmel Mezier
• Nicole Mezoff, AP
• Mi Casa Es Tu Casa #2

• Nutritionist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Nutritionist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.