Jenna P Cope, MPH, RD, LD
Individual provider Active NPI Registered Dietitian · Shiprock, NM
NPI 1407375587 · NPPES record last updated Sep 11, 2017
Key facts
- NPI
- 1407375587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD-1148 (NM)
- Practice address
- Hwy 491 North
P.O. Box 160
Shiprock, NM 87420 - Phone
- (505) 368-6001
- NPI assigned
- Sep 11, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Dietitian, Registered | Current | Accepting new patients |
Interoperability endpoints
- jennacope@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | LD-1148 | NM | |
| Registered Dietitian | 133V00000X | LD-1148 | NM | Yes |
Addresses
Primary practice location
Hwy 491 North
P.O. Box 160
Shiprock, NM 87420
Mailing address
Hwy 491 North
P.O. Box 160
Shiprock, NM 87420
Phone (505) 368-6001
Other names
- Jenna P Tallaksen
Other providers in Shiprock, NM
- Vicky Cline
- Arlene Collins
- Jeffrey Norris Collins
- John T Conner
- James Neal Cook
- Jessica Cornett Allen
- Katherine Costello
- Marcus Lawrence Couldridge
- Brianna Joy Cowan
- Deborah A Crabbe
All providers in Shiprock, NM · Registered Dietitian in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.