Individual provider Active NPI

Judith Mary Zimpfer, RDN, LD

  • Registered Dietitian
  • Centerville, OH
National Provider Identifier
1730709668
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD690 Issued in OH
Practice address
2300 Miami Valley Dr Ste 280
Centerville, OH 45459-1294
Phone
(937) 438-7834
Fax
(937) 223-9413
NPI assigned
Apr 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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 LD690 OH Primary

Addresses

Primary practice location

2300 Miami Valley Dr Ste 280
Centerville, OH 45459-1294

Mailing address

2300 Miami Valley Dr Ste 280
Centerville, OH 45459-1294
Phone (937) 438-7834

Other names 1

  • Mrs. Judith Mary Zimpfer 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

State licenses

LicenseStateTypeSpecialty
LD690OHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1730709668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MIAMI VALLEY DR STE 280",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454591294",
            "telephone_number": "937-438-7834",
            "fax_number": "937-223-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MIAMI VALLEY DR STE 280",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454591294",
            "telephone_number": "937-438-7834",
            "fax_number": "937-223-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMPFER",
        "first_name": "JUDITH",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "ZIMPFER",
            "middle_name": "MARY",
            "prefix": "MRS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.