Individual provider Active NPI

Janet Rae Mertz, MS, RD, CDE, CPT, LD

  • Registered Dietitian
  • Loveland, CO
National Provider Identifier
1588912372
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
695 Issued in OR
Practice address
5158 Fallgold Dr
Loveland, CO 80538-5690
Phone
(970) 292-8432
Fax
(970) 292-8432
NPI assigned
Aug 27, 2012
Last updated
Aug 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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 695 OR Primary

Addresses

Primary practice location

5158 Fallgold Dr
Loveland, CO 80538-5690

Mailing address

5158 Fallgold Dr
Loveland, CO 80538-5690
Phone (970) 292-8432

Other names 1

  • Miss Janet Rae Rezek Former name

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
695ORMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1588912372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5158 FALLGOLD DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385690",
            "telephone_number": "970-292-8432",
            "fax_number": "970-292-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5158 FALLGOLD DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385690",
            "telephone_number": "970-292-8432",
            "fax_number": "970-292-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZ",
        "first_name": "JANET",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDE, CPT, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "REZEK",
            "middle_name": "RAE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.