Individual provider Active NPI

McKenzie Lauren Weitz, RD

  • Registered Dietitian
  • Dover, DE
National Provider Identifier
1538718424
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN0000771 Issued in DE
Practice address
640 South State Street
Dover, DE 19901
Phone
(302) 744-6842
Fax
(302) 744-6849
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 DN0000771 DE Primary

Addresses

Primary practice location

640 South State Street
Dover, DE 19901

Mailing address

640 South State Street
Dover, DE 19901
Phone (302) 744-6842

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201113002654 DE Practitioner - Registered Dietitian Or Nutrition Professional 6204246689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

3506 Kennett Pike
Wilmington, DE 19807-3019

3506 Kennett Pike Pmri
CCHS Diabetes and Metabolic
Wilmington, DE 19807-3019
Phone (302) 661-3070

4701 Ogletown Stanton Rd
Suite 1307
Newark, DE 19713-2079
Phone (302) 623-4601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0000771DEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Dietitian, Registered CurrentSince Nov 9, 2020 Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 9, 2020 Accepting new patients
Christiana Care Health Services Inc Dietitian, Registered Past Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 1211
Newark, DE 19713
Phone (302) 623-3053

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1538718424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SOUTH STATE STREET",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-744-6842",
            "fax_number": "302-744-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SOUTH STATE STREET",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-744-6842",
            "fax_number": "302-744-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZ",
        "first_name": "MCKENZIE",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "DN0000771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.