Jennifer Osantowski, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

959284 Issued in MI

Practice address

5000 Hakes Dr
Norton Shores, MI 49441-5574

Phone

(269) 350-0003

NPI assigned

May 29, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1821612540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 HELEN DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HAKES DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415574",
            "telephone_number": "269-350-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSANTOWSKI",
        "first_name": "JENNIFER",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "959284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jennifer.osantowski@va.gov",
            "affiliation": "N",
            "endpointDescription": "work e-mail where messages can be encrypted",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "5000 Hakes Dr",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494415574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Norton Shores Care Operations LLC
• Norton Shores Dental PC
• Mary Okine, DPT
• Kelly Elizabeth Olson
• Orbit Consulting P.C.
• Keith Otto, DDS
• George E Overly, MD
• Oxendale & Associates, LLC
• Holly Renee Oyler
• Tarin Paparella, DPM

• Registered Dietitian in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.