Active NPI
Jenna Marie George, RD, LDN, CSR
- Registered Dietitian
- Rochester, PA
National Provider Identifier
1366969339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1069342
- Practice address
- 300 Brighton Avenue
Suite 110
Rochester, PA 15074 - Phone
- (724) 709-6005
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 1069342 | ||
| Registered Dietitian | 133V00000X | 1069342 | Primary |
Addresses
Primary practice location
300 Brighton Avenue
Suite 110
Rochester, PA 15074
Mailing address
300 Brighton Avenue
Suite 110
Rochester, PA 15074
Phone (724) 709-6005
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503964800000",
"number": "1366969339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BRIGHTON AVENUE",
"address_2": "SUITE 110",
"city": "ROCHESTER",
"state": "PA",
"postal_code": "15074",
"telephone_number": "724-709-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BRIGHTON AVENUE",
"address_2": "SUITE 110",
"city": "ROCHESTER",
"state": "PA",
"postal_code": "15074",
"telephone_number": "724-709-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JENNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RD, LDN, CSR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2017-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": "1069342",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1069342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.