Active NPI
Jennifer Klotz, R.D., M.S.
- Registered Dietitian
- Park Ridge, IL
National Provider Identifier
1932331360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.005113
- Practice address
- 15 N Prospect Ave
Park Ridge, IL 60068-3563 - Phone
- (847) 232-9800
- NPI assigned
- Aug 18, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 164.005113 | IL | Primary |
Addresses
Primary practice location
15 N Prospect Ave
Park Ridge, IL 60068-3563
Mailing address
15 N Prospect Ave
Park Ridge, IL 60068-3563
Phone (847) 232-9800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.005113 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1932331360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 N PROSPECT AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600683563",
"telephone_number": "847-232-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N PROSPECT AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600683563",
"telephone_number": "847-232-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOTZ",
"first_name": "JENNIFER",
"credential": "R.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.005113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.