Active NPI
Amy Jenkins, RDN
- Registered Dietitian
- Saint Clairsville, OH
National Provider Identifier
1306563499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1502
- Practice address
- 67051 Executive Dr
Saint Clairsville, OH 43950-8473 - Phone
- (740) 695-4931
- NPI assigned
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 1502 | OH | Primary |
Addresses
Primary practice location
67051 Executive Dr
Saint Clairsville, OH 43950-8473
Mailing address
PO Box 446
Martins Ferry, OH 43935-0446
Phone (740) 359-1706
Other practice location 1
72888 Pleasant Grove Rd
Dillonvale, OH 43917
Phone (740) 695-4931
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 |
|---|---|---|---|
| 1502 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1306563499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 446",
"city": "MARTINS FERRY",
"state": "OH",
"postal_code": "439350446",
"telephone_number": "740-359-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67051 EXECUTIVE DR",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439508473",
"telephone_number": "740-695-4931"
}
],
"practiceLocations": [
{
"address_1": "72888 Pleasant Grove Rd",
"address_purpose": "LOCATION",
"city": "Dillonvale",
"state": "OH",
"postal_code": "43917",
"country_code": "US",
"telephone_number": "740-695-4931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "AMY",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "1502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clairsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.