Jennifer M Wood, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2694 Issued in MN

Practice address

1115 E Main St Ste 5B
Albert Lea, MN 56007-3600

Phone

(507) 676-3153

NPI assigned

Feb 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer M. Merkel Former name

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• American Baptist Homes of the Midwest

  • Skilled Nursing Facility
  • Albert Lea, MN
  • NPI 1558359273

  W-2 Managing Employee

  CMS ownership

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

• The Petersburg Medical Center

  • Critical Access Hospital
  • Petersburg, AK
  • NPI 1437122843
  Medicare reassignment NPD
• The Petersburg Medical Center

  • Critical Access Hospital
  • Petersburg, AK
  • NPI 1790845204
  NPD

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1548438153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SUNSET ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071575",
            "telephone_number": "507-676-3153",
            "fax_number": "507-875-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E MAIN ST STE 5B",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560073600",
            "telephone_number": "507-676-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-16",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MERKEL",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ella Mae Wiemerslage, PSY D
• Steven K Wiese, M.D.
• Maureen Ann Williams-Zelenak, L.I.C.S.W.
• Jillian Williamson
• Linda G Wollenburg
• Richard Lyle Wood, RN CNP
• Fadi Bassam Yahya, M.D.
• John Earl Yeakel, MD
• Yellow Bug of Albert Lea, LLC
• Yellowbug of Albert Lea, LLC

• Registered Dietitian in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.