Individual provider Active NPI

Jennifer Hoppe, MA, RDN

  • Registered Dietitian
  • Kalamazoo, MI
National Provider Identifier
1417492901
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1030531 Issued in MI
Practice address
615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501
Phone
(269) 553-7041
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1030531 MI Primary

Addresses

Primary practice location

615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501

Mailing address

748 W Kilgore Rd Apt 306
Kalamazoo, MI 49008-3652

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1030531MIMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1417492901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 W KILGORE RD APT 306",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E CROSSTOWN PKWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012501",
            "telephone_number": "269-553-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPE",
        "first_name": "JENNIFER",
        "credential": "MA, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "1030531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.