Jana Osborne Massenburg, MS, RD, LD
Individual provider Active NPI Registered Dietitian · Southside, AL
NPI 1235303173 · NPPES record last updated Apr 22, 2008
Key facts
- NPI
- 1235303173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1161 (AL)
- Practice address
- 3620 Green Valley Rd
Southside, AL 35907-6513 - Phone
- (256) 413-7087
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1161 | AL | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1161 | AL | Yes |
Addresses
Primary practice location
3620 Green Valley Rd
Southside, AL 35907-6513
Mailing address
3620 Green Valley Road
Southside, AL 35907-6513
Phone (256) 413-7087
Other names
- Mrs. Jana Kay Massenburg
Other providers in Southside, AL
- Lawley Drug & Medical Hospice, LLC
- Life Choice Hospice of Alabama LLC
- Aleigh Luttrell
- Sharon Stanley Machen
- David John Martin
- Samantha Myers
- Mindy Beth O'Bryant
- Angela Marie Pate
- Donna Perez
- Samantha Kelly Richardson
All providers in Southside, AL · Registered Dietitian in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.