Active NPI
Jennifer L Hernandez, RDN, CSR, LDN
- Registered Dietitian
- Dania Beach, FL
National Provider Identifier
1144730540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1082987
- Practice address
- 121 N Compass Way Apt 431
Dania Beach, FL 33004-2387 - Phone
- (520) 240-7552
- Fax
- (575) 404-7707
- NPI assigned
- Oct 11, 2017
- 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 | 1082987 | Primary |
Addresses
Primary practice location
121 N Compass Way Apt 431
Dania Beach, FL 33004-2387
Mailing address
121 N Compass Way Apt 431
Dania Beach, FL 33004-2387
Phone (520) 240-7552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1082987 | Other | COMMISSION ON DIETETIC REGISTRATION |
Other names 1
- Ms. Jennifer Childers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2020 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plant-Powered Kidneys Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1144730540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N COMPASS WAY APT 431",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330042387",
"telephone_number": "520-240-7552",
"fax_number": "575-404-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N COMPASS WAY APT 431",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330042387",
"telephone_number": "520-240-7552",
"fax_number": "575-404-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RDN, CSR, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1082987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "1082987",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CHILDERS",
"prefix": "MS.",
"credential": "RDN, CSR, LDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dania Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.