Active NPI
McKenzie Lauren Weitz, RD
- Registered Dietitian
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN0000771
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN0000771 | DE | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Dietitian, Registered | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | 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.
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
Dietitian, Registered
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba CCHS Diabetes & Metabolic
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1407830748
Dietitian, Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
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.