Jennifer Klein, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

008504 Issued in NY

Practice address

139 E Grand Blvd
Cheektowaga, NY 14225-3110

Phone

(716) 341-4969

NPI assigned

Feb 18, 2022

Last updated

Feb 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1184379026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E GRAND BLVD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253110",
            "telephone_number": "716-341-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E GRAND BLVD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253110",
            "telephone_number": "716-341-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "742 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142092202",
            "country_code": "US",
            "telephone_number": "716-431-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JENNIFER",
        "credential": "RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "008504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca C Kistner
• Payton Klidonas, OTR/L
• Alexander John Kline
• Jennifer Anne Klock
• Bridget L Klosko, MS SPED
• Amanda Klump

• Registered Dietitian in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.