Individual provider Active NPI

Kerri-Ann Jennings, M.S., R.D.

  • Registered Dietitian
  • Essex Junction, VT
National Provider Identifier
1376984294
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
074.0094226 Issued in VT
Practice address
15 Pearl St
Essex Junction, VT 05452-3652
Phone
(802) 448-0890
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 074.0094226 VT Primary
Registered Dietitian 133V00000X 60632328 WA

Addresses

Primary practice location

15 Pearl St
Essex Junction, VT 05452-3652

Mailing address

16 Ferguson Ave
Burlington, VT 05401-5313
Phone (202) 360-9764

Other practice location 1

3636 Woodland Park Ave N
Apt C
Seattle, WA 98103-7950
Phone (202) 360-9764

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
074.0094226VTMDRegistered Dietitian
60632328WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish Vermont LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376984294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FERGUSON AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015313",
            "telephone_number": "202-360-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PEARL ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523652",
            "telephone_number": "802-448-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 Woodland Park Ave N",
            "address_2": "Apt C",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981037950",
            "country_code": "US",
            "telephone_number": "202-360-9764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "KERRI-ANN",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074.0094226",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60632328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.