Jenifer Marie Habeeb, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN002226 Issued in PA

Practice address

534 Wyoming Ave
Kingston, PA 18704-3742

Phone

(570) 552-7150

Fax

(570) 552-7152

NPI assigned

Aug 9, 2010

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1386959864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 WYOMING AVE",
            "address_2": "201",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043742",
            "telephone_number": "570-552-7150",
            "fax_number": "570-552-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043742",
            "telephone_number": "570-552-7150",
            "fax_number": "570-552-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABEEB",
        "first_name": "JENIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaifali Gupta, M.D.
• Susana Noemy Gutierrez, OD
• Holly Guydish
• Wendy Guzenski, CRNP
• Vena Marie Guzman, MSW,LSW
• Marc Harley Habel
• Daniel Hackford, PHARMD
• Brenda Lee Hamersley, MS, OTR/L
• Tracey Marie Hampton, LPC
• Jennifer Hanson, D.O.

• Registered Dietitian in Kingston, PA
• Providers in Kingston, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.