Jennifer Okon, R.D., C.D.E., C.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1696-029 Issued in WI

Practice address

St. Joseph's Hospital Diabetes Center
611 Saint Joseph Ave.
Marshfield, WI 54449

Phone

(715) 387-7255

Fax

(715) 378-7251

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386731982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W 8TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544493432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. JOSEPH'S HOSPITAL DIABETES CENTER",
            "address_2": "611 SAINT JOSEPH AVE.",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "54449",
            "telephone_number": "715-387-7255",
            "fax_number": "715-378-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKON",
        "first_name": "JENNIFER",
        "credential": "R.D., C.D.E.,  C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1696-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Oelstrom, M.D.
• Rebekah A. Oetken, R.N.
• Kelsie-Marie Offenwanger, PSY.D
• Jane Marie Ohde, DO
• Adaora Chinenye Okoli, MD
• Asha Yancy Okorie, MD
• Uzoma C. Okorie, MD
• Warren W Olds, MD
• Madeline M. Oleksy, LAT
• Matthew William Oley

• Registered Dietitian in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Registered Dietitian in Wisconsin

• 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.

Verify at the official NPI Registry.