Individual provider Active NPI

Jennifer Witt, RDN, LDN

  • Registered Dietitian
  • Birmingham, AL
National Provider Identifier
1265193155
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4134 Issued in TN
Practice address
3686 Grandview Pkwy Ste 300
Birmingham, AL 35243-3404
Phone
(205) 536-7676
Fax
(205) 939-4477
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4134 TN Primary

Addresses

Primary practice location

3686 Grandview Pkwy Ste 300
Birmingham, AL 35243-3404

Mailing address

2457 Dolly Ridge TRL
Vestavia, AL 35243-4626
Phone (205) 807-7386

Other practice location 1

2457 Dolly Ridge Trl
Vestavia, AL 35243-4626
Phone (205) 807-7386

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.witt.1@9954.direct.athenahealth.com

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

LicenseStateTypeSpecialty
4134TNMDRegistered Dietitian
4021ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC PastSince Feb 8, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.witt.1@9954.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1265193155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 DOLLY RIDGE TRL",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434626",
            "telephone_number": "205-807-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433404",
            "telephone_number": "205-536-7676",
            "fax_number": "205-939-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2457 Dolly Ridge Trl",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352434626",
            "country_code": "US",
            "telephone_number": "205-807-7386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITT",
        "first_name": "JENNIFER",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "4134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.witt.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3686 Grandview Pkwy Ste 300",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352433404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.