Jennifer Lynn Massman, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

09885 Issued in OH

Practice address

2015 Stonewater Dr
Centerville, OH 45458-7514

Phone

(937) 266-9861

NPI assigned

Jan 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynn Davis Former name

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1013779230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 STONEWATER DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454587514",
            "telephone_number": "937-266-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 STONEWATER DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454587514",
            "telephone_number": "937-266-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "09885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DAVIS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shawnmari Marshall-Kaiser
• William Fish Marsteller III, D.C.
• Abigael Martin
• Ashley Martin
• Lindsay D Marton, MD
• Angela Mathes, NP
• Maureen Matos-Perez, MA CCC-A
• Wilma Matos, HOME CARE ATTENDANT
• Marissa May
• Maya Papaya LLC

• Registered Dietitian in Centerville, OH
• Providers in Centerville, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.