Individual provider Active NPI

Jenna L Wiltzer Karim, MS, RD, LD

  • Registered Dietitian
  • Solon, OH
National Provider Identifier
1467888214
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1074622 Issued in OH
Practice address
34055 Solon Rd
Suite 201
Solon, OH 44139-2662
Phone
(440) 914-7840
Fax
(440) 914-7855
NPI assigned
Sep 24, 2013
Last updated
Sep 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1074622 OH Primary
Registered Dietitian 133V00000X 7051 OH

Addresses

Primary practice location

34055 Solon Rd
Suite 201
Solon, OH 44139-2662

Mailing address

34055 Solon Rd
Suite 201
Solon, OH 44139-2662
Phone (440) 914-7840

Other identifiers 3

IdentifierTypeStateIssuer
1144109OtherOHUNIVERSITY HOSPITALS EMPLOYEE ID
1074622OtherOHREGISTERED DIETITIAN
7051OtherOHLICENCED

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7051OHMDClinical Psychologist
1074622OHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1467888214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34055 SOLON RD",
            "address_2": "SUITE 201",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392662",
            "telephone_number": "440-914-7840",
            "fax_number": "440-914-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34055 SOLON RD",
            "address_2": "SUITE 201",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392662",
            "telephone_number": "440-914-7840",
            "fax_number": "440-914-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZER KARIM",
        "first_name": "JENNA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "1074622",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "7051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HOSPITALS EMPLOYEE ID",
            "identifier": "1144109",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "1074622",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED",
            "identifier": "7051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.