Janelle Leslie Kennedy, RD, LD
Individual provider Active NPI Registered Dietitian · Brookston, IN
NPI 1285399832 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1285399832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 37001384A (IN)
- Practice address
- 9665 S 150 W
Brookston, IN 47923-8060 - Phone
- (765) 430-0892
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37001384A | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Dietitian, Registered | Current | Accepting new patients |
Interoperability endpoints
- janellekennedy@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37001384A | IN | Yes |
Addresses
Primary practice location
9665 S 150 W
Brookston, IN 47923-8060
Mailing address
9665 S 150 W
Brookston, IN 47923-8060
Phone (765) 430-0892
Other names
- Miss Janelle Leslie Bailey
Other providers in Brookston, IN
- Kendall Jo Bridwell
- Artha Laurel Eakin
- Gavin Michael Gleason
- Amber Nichole Hale
- Amanda Hathcock
- Steven L Kenyon
- Life Essentials LLC
- Lopp Family Dental PC
- Clarence Lee Lopp II
- Mackenzie K. Lopp
All providers in Brookston, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. 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.