Jenna Koellner, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD005295 Issued in GA

Practice address

35 Barnard St Ste 318
Savannah, GA 31401-2500

Phone

(912) 353-0153

NPI assigned

Oct 18, 2019

Last updated

Oct 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1336782713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SMOKE RISE RD",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246250",
            "telephone_number": "330-690-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BARNARD ST STE 318",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314012500",
            "telephone_number": "912-353-0153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Abercorn St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314014069",
            "country_code": "US",
            "telephone_number": "912-353-0153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOELLNER",
        "first_name": "JENNA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Knopf, M.D.
• Lindsey Knopf, BCBA
• Patrick Ryan Knorr, PA
• Katherine Anne Kocek, CRNA
• Michael Koehler, MD
• Marie Paule Koffi Bouaffo
• Joshua R Kohl, CRNA
• Gregory Paul Kolovich, M.D.
• Martina Kolovich
• Stephanie Komorowski

• Registered Dietitian in Savannah, GA
• Providers in Savannah, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.