Jennifer Anne Wilke, MS, RD, CED-S, CSSD
NPI 1700188653ActiveIndividual· Dietitian, Registered· Murray, UT
Dietitian, Registered (MS, RD, CED-S, CSSD) in Murray, Utah, licensed in UT, with an NPI issued in November 2010. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1700188653 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, CED-S, CSSD |
| Sole proprietor | Yes |
| NPI issued | Nov 29, 2010 |
| Last updated in NPPES | Aug 28, 2023 |
| Certified by provider | May 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 12044801-4901 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (UT) |
|---|
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