NPIMap

Organization Active NPI

Jenn T Rd, LLC

  • Registered Dietitian
  • Bennington, NE
National Provider Identifier
1427774199
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
JENN T RD, LLC
Practice address
7632 N 153Rd Cir
Bennington, NE 68007-1553
Phone
(402) 303-3134
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Jennifer J Thielen, MS, RD, LMNTNPI 1649699018
Title
Registered Dietitian
Phone
(402) 303-3134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

7632 N 153Rd Cir
Bennington, NE 68007-1553

Mailing address

7632 N 153Rd Cir
Bennington, NE 68007-1553
Phone (402) 218-8363

Other names 1

  • Jenn T RD Nutrition Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1427774199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 N 153RD CIR",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680071553",
            "telephone_number": "402-218-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 N 153RD CIR",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680071553",
            "telephone_number": "402-303-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENN T RD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "THIELEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "402-303-3134",
        "authorized_official_credential": "MS, RD, LMNT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenn T RD Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bennington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.