Active NPI
Jeffrey Steven Ritzema, R.D.
- Registered Dietitian
- Alma, MI
National Provider Identifier
1396186953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1094586
- Practice address
- 300 E Warwick Dr
Alma, MI 48801-1014 - Phone
- (989) 466-3378
- NPI assigned
- Jul 11, 2013
- Sex
- Male
- 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 | 1094586 | MI | Primary |
Addresses
Primary practice location
300 E Warwick Dr
Alma, MI 48801-1014
Mailing address
300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 466-3378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1094586 | Other | MI | RD REGISTRATION |
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 |
|---|---|---|---|
| 1094586 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1396186953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E WARWICK DR",
"city": "ALMA",
"state": "MI",
"postal_code": "488011014",
"telephone_number": "989-466-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E WARWICK DR",
"city": "ALMA",
"state": "MI",
"postal_code": "488011014",
"telephone_number": "989-466-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITZEMA",
"first_name": "JEFFREY",
"middle_name": "STEVEN",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-11",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "1094586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD REGISTRATION",
"identifier": "1094586",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.