Active NPI
Jennifer Anne Nelson, MS, RD, CDE
- Registered Dietitian
- Huntington Beach, CA
National Provider Identifier
1003094459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 8041 Newman Ave
Huntington Beach, CA 92647-7034 - Phone
- (714) 500-0224
- NPI assigned
- Feb 7, 2008
- 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 | Primary |
Addresses
Primary practice location
8041 Newman Ave
Huntington Beach, CA 92647-7034
Mailing address
28441 Las Arubas
Laguna Niguel, CA 92677-7581
Phone (949) 448-0775
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric and Family Medical Center | Past | Accepting new patients | |
| Pediatric and Family Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jennifer.nelson.p1@direct.scfhc.nextgenshare.com
- jennifer.nelson.1@28334.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1720468804
-
- Federally Qualified Health Center (FQHC)
- Sherman Oaks, CA
- NPI 1982075107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1003094459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28441 LAS ARUBAS",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926777581",
"telephone_number": "949-448-0775",
"fax_number": "949-448-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8041 NEWMAN AVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926477034",
"telephone_number": "714-500-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MS, RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-07",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.