Jena Demoss, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3410 Issued in MN

Practice address

1001 18TH Ave NW
Austin, MN 55912-1890

Phone

(507) 437-7625

NPI assigned

Aug 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jena Pape Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hy-Vee Health PC

  • Internal Medicine Physician
  • Eagan, MN
  • NPI 1730953548

  MN

  Medicare reassignment NPD
• Hy-Vee Health PC

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1184498990
  NPD
• Hy-Vee Health PC

  • Registered Dietitian
  • Mankato, MN
  • NPI 1043086986

  Dietitian, Registered

  NPD (past)
• Hy-Vee Health PC

  • Internal Medicine Physician
  • West Des Moines, IA
  • NPI 1558086637
  NPD (past)
• Hy-Vee Health PC

  • Registered Dietitian
  • Madison, WI
  • NPI 1558137406

  Dietitian, Registered

  NPD (past)
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Wausau, WI
  • NPI 1396619839
  NPD (past)
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • West Des Moines, IA
  • NPI 1417121112
  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1104235100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 10TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551281122",
            "telephone_number": "507-437-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 18TH AVE NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559121890",
            "telephone_number": "507-437-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSS",
        "first_name": "JENA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENA",
            "last_name": "PAPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shayana Prabhodani De Silva, M.D.
• Miranda Kay Debus, LPN
• Jeremy James Deetz, DPT, ATC
• Noe Nicolas Dela Fuente Jr., M.D.
• Sydney Demaris, M.A. SLP
• Rebecca Denaway, MSW, LICSW
• Kevin Lynn Denton, M.D.
• Lisa Denzer
• Alyson Kay Deroos
• Ann Deters, RN

• All providers in Austin, MN
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.

Verify at the official NPI Registry.