Active NPI
Jeanne Edwards
- Registered Dietitian
- Manitowoc, WI
National Provider Identifier
1245889054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2300 Western Ave
Manitowoc, WI 54220-3712 - Phone
- (920) 320-2520
- NPI assigned
- Sep 5, 2019
- 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 | Primary |
Addresses
Primary practice location
2300 Western Ave
Manitowoc, WI 54220-3712
Mailing address
PO Box 1450
Manitowoc, WI 54221-1450
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JEDWARDS@HFMHEALTH.ORG |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1245889054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1450",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542211450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WESTERN AVE",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542203712",
"telephone_number": "920-320-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JEANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JEDWARDS@HFMHEALTH.ORG",
"affiliation": "N",
"address_1": "2300 Western Ave",
"city": "Manitowoc",
"state": "WI",
"country_code": "US",
"postal_code": "542203712",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.