Jenna Guadagna, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

009254 Issued in NY

Practice address

300 International Dr Ste 100
Williamsville, NY 14221-5783

Phone

(716) 710-7022

NPI assigned

Jun 13, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1164082079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MONTREPOSE AVE FL 2",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016526",
            "telephone_number": "716-909-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL DR STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215783",
            "telephone_number": "716-710-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 Sweet Home Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142282784",
            "country_code": "US",
            "telephone_number": "716-710-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 N Bailey Ave Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142265138",
            "country_code": "US",
            "telephone_number": "716-710-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 E Robinson Rd",
            "address_purpose": "LOCATION",
            "city": "West Amherst",
            "state": "NY",
            "postal_code": "142282041",
            "country_code": "US",
            "telephone_number": "716-710-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Youngs Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142218024",
            "country_code": "US",
            "telephone_number": "716-710-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3675 Southwestern Blvd",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271732",
            "country_code": "US",
            "telephone_number": "716-710-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUADAGNA",
        "first_name": "JENNA",
        "credential": "RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.