Active NPI
Karen Ann Jackson-Holzhauer, RD,FAND
- Registered Dietitian
- Detroit, MI
National Provider Identifier
1366818262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1300 E Lafayette St
Suite 2206
Detroit, MI 48207-2905 - Phone
- (313) 727-4931
- NPI assigned
- Aug 13, 2015
- 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 | Primary |
Addresses
Primary practice location
1300 E Lafayette St
Suite 2206
Detroit, MI 48207-2905
Mailing address
1300 E Lafayette St
Suite 2206
Detroit, MI 48207-2905
Phone (313) 727-4931
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1366818262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 E LAFAYETTE ST",
"address_2": "SUITE 2206",
"city": "DETROIT",
"state": "MI",
"postal_code": "482072905",
"telephone_number": "313-727-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E LAFAYETTE ST",
"address_2": "SUITE 2206",
"city": "DETROIT",
"state": "MI",
"postal_code": "482072905",
"telephone_number": "313-727-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON-HOLZHAUER",
"first_name": "KAREN",
"middle_name": "ANN",
"credential": "RD,FAND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.