Jana Osborne Massenburg, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1161 Issued in AL

Practice address

3620 Green Valley Rd
Southside, AL 35907-6513

Phone

(256) 413-7087

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jana Kay Massenburg Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1235303173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 GREEN VALLEY ROAD",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359076513",
            "telephone_number": "256-413-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 GREEN VALLEY RD",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359076513",
            "telephone_number": "256-413-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENBURG",
        "first_name": "JANA",
        "middle_name": "OSBORNE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "1161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "MASSENBURG",
            "middle_name": "KAY",
            "prefix": "MRS.",
            "credential": "MS,RD,LD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Dietitian in Southside, AL
• Providers in Southside, AL by specialty
• Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.