Active NPI
Kelli Rae Jennings, R.D.
- Registered Dietitian
- Crested Butte, CO
National Provider Identifier
1083630800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 142 Shavano St
Crested Butte, CO 81224-9621 - Phone
- (970) 349-0767
- Fax
- (970) 349-1251
- NPI assigned
- Jul 14, 2006
- 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
142 Shavano St
Crested Butte, CO 81224-9621
Mailing address
142 Shavano St
PO Box 2074
Crested Butte, CO 81224-9621
Phone (970) 349-0767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Gunnison Valley Hospital | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Gunnison, CO
- NPI 1578997284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083630800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 SHAVANO ST",
"address_2": "PO BOX 2074",
"city": "CRESTED BUTTE",
"state": "CO",
"postal_code": "812249621",
"telephone_number": "970-349-0767",
"fax_number": "970-349-1251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 SHAVANO ST",
"city": "CRESTED BUTTE",
"state": "CO",
"postal_code": "812249621",
"telephone_number": "970-349-0767",
"fax_number": "970-349-1251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "KELLI",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crested Butte, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.