Active NPI
Paulette Klostreich, RD, LD/N
- Registered Dietitian
- Palm City, FL
National Provider Identifier
1720220528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 2941
- Practice address
- 6301 SW Bald Eagle Dr
Palm City, FL 34990-8865 - Phone
- (941) 761-4670
- NPI assigned
- Mar 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | ND 2941 | FL | Primary |
Addresses
Primary practice location
6301 SW Bald Eagle Dr
Palm City, FL 34990-8865
Mailing address
6301 SW Bald Eagle Dr
Palm City, FL 34990-8865
Phone (941) 448-9633
Other names 1
- Paulette Mary Weber
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 2941 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1720220528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 SW BALD EAGLE DR",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349908865",
"telephone_number": "941-448-9633",
"fax_number": "866-399-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 SW BALD EAGLE DR",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349908865",
"telephone_number": "941-761-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOSTREICH",
"first_name": "PAULETTE",
"name_prefix": "Mrs.",
"credential": "RD, LD/N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-25",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 2941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAULETTE",
"last_name": "WEBER",
"middle_name": "MARY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.