Individual provider Active NPI

Keri Ann Palasz, PHD, MS, RDN, LDN

  • Registered Dietitian
  • Lititz, PA
National Provider Identifier
1790401750
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN005960 Issued in PA
Practice address
62 Oakhill Dr
Lititz, PA 17543-8364
Phone
(717) 615-1024
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86007819 PA
Registered Dietitian 133V00000X DN005960 PA Primary

Addresses

Primary practice location

62 Oakhill Dr
Lititz, PA 17543-8364

Mailing address

62 Oakhill Dr
Lititz, PA 17543-8364
Phone (717) 615-1024

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
86007819PAMDRegistered Dietitian
DN005960PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1790401750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 OAKHILL DR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175438364",
            "telephone_number": "717-615-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 OAKHILL DR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175438364",
            "telephone_number": "717-615-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALASZ",
        "first_name": "KERI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86007819",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.