Jennifer Colegrove

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

MED-NUTR-LIC-372 Issued in MT

Practice address

2475 E Broadway St
Helena, MT 59601-4928

Phone

(406) 444-2189

Fax

(406) 447-2703

NPI assigned

Dec 1, 2017

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1144734971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-444-2189",
            "fax_number": "406-447-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-444-2189",
            "fax_number": "406-447-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEGROVE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "MED-NUTR-LIC-372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RD REGISTRATION NUMBER",
            "identifier": "726685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Cody, MD
• W. Bruce Coen, O.D.
• Ashley Ann Coggins, D.O.
• Andy Bush Coil, DO
• Lindsay Cole, PHARMD
• Colleen Murphy, LCSW
• Allison Collins, MA LAC NCAC-1
• Dale E Collins, RDMS, RVT
• Magdalene M Collins
• Colman Community Services

• Registered Dietitian in Helena, MT
• Providers in Helena, MT by specialty
• Registered Dietitian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.