Jenna Marie Becker-Corbin, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

01004023 Issued in CA

Practice address

4805 Bay Heron PL
Tampa, FL 33616-2948

Phone

(909) 731-9936

NPI assigned

Nov 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1396047742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 CARTILLA AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917371756",
            "telephone_number": "909-731-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 BAY HERON PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336162948",
            "telephone_number": "909-731-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER-CORBIN",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "01004023",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND1405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Victoria Beck, MA, BCBA
• Sandra Marie Beck, OTR/L
• Towanda Beck
• Charles R Beckenstein, M.D.
• Barbara Karla Becker Parodi
• David Jerome Becker-Weidman, M.D.
• Dalton James Becker, DC
• Jennifer E. Becker, ARNP
• Kortney Becker
• Mathis Lee Becker, M.D.

• Registered Dietitian in Tampa, FL
• Providers in Tampa, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.