Individual provider Active NPI

Jennifer Anne Bouren, R.D.N

  • Registered Dietitian
  • Troy, MI
National Provider Identifier
1073486668
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
3311 Harmony Dr
Troy, MI 48083-5514
Phone
(734) 788-4955
NPI assigned
Sep 29, 2025
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X MI Primary

Addresses

Primary practice location

3311 Harmony Dr
Troy, MI 48083-5514

Mailing address

3311 Harmony Dr
Troy, MI 48083-5514
Phone (734) 788-4955

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1073486668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 HARMONY DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835514",
            "telephone_number": "734-788-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 HARMONY DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835514",
            "telephone_number": "734-788-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUREN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "R.D.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.