Active NPI
Jennifer Anttonen, RD
- Registered Dietitian
- Westfield, IN
National Provider Identifier
1346893781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86037144
- Practice address
- 17762 White Willow Dr.
Westfield, IN 46074 - Phone
- (812) 571-1224
- NPI assigned
- Jul 23, 2019
- Last updated
- Nov 17, 2021
- 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 | 86037144 | IN | Primary |
Addresses
Primary practice location
17762 White Willow Dr.
Westfield, IN 46074
Mailing address
17762 White Willow Dr.
Westfield, IN 46074
Phone (812) 571-1224
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 |
|---|---|---|---|
| 86037144 | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1346893781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17762 WHITE WILLOW DR.",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "46074",
"telephone_number": "812-571-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17762 WHITE WILLOW DR.",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "46074",
"telephone_number": "812-571-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTTONEN",
"first_name": "JENNIFER",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "86037144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.