Active NPI
June A Wirtz, R.D.
- Registered Dietitian
- Medina, OH
National Provider Identifier
1386712974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1520
- Practice address
- 1000 E Washington St
Nutrition Services
Medina, OH 44256-2170 - Phone
- (330) 721-5144
- NPI assigned
- Dec 1, 2006
- 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 | 1520 | OH | Primary |
Addresses
Primary practice location
1000 E Washington St
Nutrition Services
Medina, OH 44256-2170
Mailing address
3975 Huffman Rd
Medina, OH 44256-7908
Phone (330) 722-7457
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1520 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386712974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3975 HUFFMAN RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442567908",
"telephone_number": "330-722-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E WASHINGTON ST",
"address_2": "NUTRITION SERVICES",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562170",
"telephone_number": "330-721-5144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRTZ",
"first_name": "JUNE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "1520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.