Active NPI
Cody Taylor Jenkins, RD
- Registered Dietitian
- Birmingham, AL
National Provider Identifier
1124639703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 004481
- Practice address
- 3613 6TH Ave S
Birmingham, AL 35222-2407 - Phone
- (225) 354-5030
- NPI assigned
- Aug 16, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3180 | AL | |
| Registered Dietitian | 133V00000X | 004481 | GA | Primary |
Addresses
Primary practice location
3613 6TH Ave S
Birmingham, AL 35222-2407
Mailing address
1687 Fernleaf Cir NW
Atlanta, GA 30318-1415
Phone (865) 806-3247
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": "1597536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597536000000",
"number": "1124639703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1687 FERNLEAF CIR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303181415",
"telephone_number": "865-806-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3613 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352222407",
"telephone_number": "225-354-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "CODY",
"middle_name": "TAYLOR",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-16",
"last_updated": "2020-08-16",
"certification_date": "2020-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "3180",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "004481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.