Jennifer Marie Rose Parker, RDN, CSR, LDN

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

ND5837 Issued in FL

Practice address

300 E University Ave Ste 210
Gainesville, FL 32601-3460

Phone

(352) 448-1260

Fax

(352) 451-4186

NPI assigned

Mar 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1003491002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E UNIVERSITY AVE STE 210",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013460",
            "telephone_number": "352-448-1260",
            "fax_number": "352-451-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E UNIVERSITY AVE STE 210",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013460",
            "telephone_number": "352-448-1260",
            "fax_number": "352-451-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE ROSE",
        "credential": "RDN, CSR, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5837",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND5837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Parker, RN
• Donna M Parker, MD
• Dorothea Lynn Parker, RN
• Frederick Douglas Parker III
• Jason Parker, D.O.
• John J Parker, M.D.
• Jon Parker, LPC, LMHC, NCC
• Kathryn Parker, RD., LD/N
• Kenneth Parker, OD
• Leslie A Parker, ARNP

• Renal Nutrition Registered Dietitian in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Renal Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.