Individual provider Active NPI

Juliet Ann Wilkers, RD, LDN

  • Registered Dietitian
  • Media, PA
National Provider Identifier
1518138734
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003460 Issued in PA
Practice address
1068 W Baltimore Pike
Outpatient Pavillion Suite 3303
Media, PA 19063-5104
Phone
(610) 891-3490
Fax
(610) 891-3493
NPI assigned
Mar 15, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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 DN003460 PA Primary

Addresses

Primary practice location

1068 W Baltimore Pike
Outpatient Pavillion Suite 3303
Media, PA 19063-5104

Mailing address

1068 W Baltimore Pike
Outpatient Pavillion Suite 3303
Media, PA 19063-5104
Phone (610) 891-3490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208000357 DE Practitioner - Registered Dietitian Or Nutrition Professional 9931542867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ud Health LLCGroup PAC ID 6204209034, 53 clinicians

Practice addresses (Care Compare)

100 Discovery Blvd
Newark, DE 19713-1325
Phone (302) 831-1165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN003460PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Juliet Wilkers/ Fit Finds Balance Dietitian, Registered CurrentSince Jun 30, 2024 Accepting new patients
Ud Health LLC Dietitian, Registered CurrentSince Dec 25, 2023 Accepting new patients
Ud Health LLC CurrentSince Dec 25, 2023 Accepting new patients
Riddle Health Care Services Past Accepting new patients

Locations

100 Discovery Blvd
Newark, DE 19713
Phone (302) 635-0812

100 Discovery Blvd
Ste 211
Newark, DE 19713
Phone (302) 831-1165

540 S College Ave
Ste 160
Newark, DE 19713
Phone (302) 831-3000

Interoperability endpoints

  • Direct secure messaging: juliet.wilkers.p1@direct.udel.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1518138734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 W BALTIMORE PIKE",
            "address_2": "OUTPATIENT PAVILLION SUITE 3303",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635104",
            "telephone_number": "610-891-3490",
            "fax_number": "610-891-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 W BALTIMORE PIKE",
            "address_2": "OUTPATIENT PAVILLION SUITE 3303",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635104",
            "telephone_number": "610-891-3490",
            "fax_number": "610-891-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERS",
        "first_name": "JULIET",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-15",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.