Active NPI
Kristen Zetterberg, RD, LDN
- Registered Dietitian
- Newtown, PA
National Provider Identifier
1104136530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN003429
- Practice address
- 11 Friends LN Ste 106
Newtown, PA 18940-1885 - Phone
- (215) 704-4230
- Fax
- (215) 857-0016
- NPI assigned
- Oct 19, 2010
- 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 | DN003429 | PA | Primary |
Addresses
Primary practice location
11 Friends LN Ste 106
Newtown, PA 18940-1885
Mailing address
11 Friends LN Ste 106
Newtown, PA 18940-1885
Phone (215) 704-4230
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN003429 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Nutrition, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
650 Durham Rd
Ste 2
Newtown, PA 18940
Phone (215) 598-7750
11 Friends Ln
Ste 106
Newtown, PA 18940
Phone (215) 364-3722
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": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1104136530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FRIENDS LN STE 106",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401885",
"telephone_number": "215-704-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FRIENDS LN STE 106",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401885",
"telephone_number": "215-704-4230",
"fax_number": "215-857-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZETTERBERG",
"first_name": "KRISTEN",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-19",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN003429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.