Active NPI
Jenna McClean, RD
- Registered Dietitian
- Indianapolis, IN
National Provider Identifier
1184129538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37002432A
- Practice address
- 402 W Washington St RM W041
Indianapolis, IN 46204-2763 - Phone
- (317) 963-2035
- NPI assigned
- Mar 28, 2018
- Last updated
- Mar 28, 2018
- 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 | 37002432A | IN | Primary |
Addresses
Primary practice location
402 W Washington St RM W041
Indianapolis, IN 46204-2763
Mailing address
714 N Senate Ave Ste 200
Indianapolis, IN 46202-3297
Phone (317) 963-1616
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37002432A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1184129538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 N SENATE AVE STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023297",
"telephone_number": "317-963-1616",
"fax_number": "317-963-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W WASHINGTON ST RM W041",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462042763",
"telephone_number": "317-963-2035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLEAN",
"first_name": "JENNA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37002432A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.