Jennifer Thompson, MS, RD, LD

Individual provider Active NPI Registered Dietitian · Dothan, AL

NPI 1154978617 · NPPES record last updated Sep 9, 2020

Key facts

NPI
1154978617
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1988 (AL)
Practice address
1600 Whatley Drive
Suite 2
Dothan, AL 36303-1986
Phone
(334) 790-0734
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish Nutrition Therapy, LLC Dietitian, Registered Current
since Sep 13, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1988 AL Yes

Addresses

Primary practice location

1600 Whatley Drive
Suite 2
Dothan, AL 36303-1986

Mailing address

1600 Whatley Drive
Suite 2
Dothan, AL 36303
Phone (334) 790-0734

Other providers in Dothan, AL

All providers in Dothan, AL · Registered Dietitian in Alabama

Sources for this page

Verify at the official NPI Registry.