Jennifer Runz, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX3446 Issued in MD

Practice address

307 Glenwood Ave
Easton, MD 21601-4104

Phone

(443) 496-3201

Fax

(833) 914-0414

NPI assigned

Sep 27, 2023

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

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Denton, MD
  • NPI 1356388599
  Medicare reassignment NPD
• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Federalsburg, MD
  • NPI 1306678537
  NPD

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1659150704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GLENWOOD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014104",
            "telephone_number": "443-496-3201",
            "fax_number": "833-914-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GLENWOOD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014104",
            "telephone_number": "443-496-3201",
            "fax_number": "833-914-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNZ",
        "first_name": "JENNIFER",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Ross, RPH
• Kimberly M Rossman, SLP-CCC
• Lisa Marie Rowe
• Leah Caitlyn-Storm Roy
• Christopher L Runz, DO
• Amanda Lynn Russell, LCSW-C
• Angela Lynn Rutherford
• Richard Saba, MD
• Praveen Sabapathi, MD
• Mary Elaine Sadler, LGPC

• Registered Dietitian in Easton, MD
• Providers in Easton, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.