Active NPI
Jennifer L Musa, RD, CD, LD
- Registered Dietitian
- Spokane, WA
National Provider Identifier
1376511329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00001196
- Practice address
- 610 S Sherman St
Suite 201
Spokane, WA 99202-1359 - Phone
- (509) 838-2531
- NPI assigned
- Mar 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI00001196 | WA | Primary |
Addresses
Primary practice location
610 S Sherman St
Suite 201
Spokane, WA 99202-1359
Mailing address
PO Box 3649
Spokane, WA 99220-3649
Phone (509) 838-2531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8297855 | Medicaid | WA |
Other names 1
- Jennifer L Couey/Berretj
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00001196 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1376511329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3649",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203649",
"telephone_number": "509-838-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S SHERMAN ST",
"address_2": "SUITE 201",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021359",
"telephone_number": "509-838-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSA",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "RD, CD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI00001196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8297855",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "COUEY/BERRETJ",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.