Individual provider Active NPI

Jenna Lee Prince-Farmer, R.D. , L.D.

  • Registered Dietitian
  • Jasper, GA
National Provider Identifier
1437419678
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD003971 Issued in GA
Practice address
758 Upper Grandview Rd
Jasper, GA 30143-2750
Phone
(770) 893-7115
NPI assigned
May 22, 2012
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L003218 NC
Registered Dietitian 133V00000X 975023 AZ
Registered Dietitian 133V00000X 975023 CO
Registered Dietitian 133V00000X 10264236 OR
Registered Dietitian 133V00000X LD003971 GA Primary
Registered Dietitian 133V00000X 164.010910 IL
Registered Dietitian 133V00000X 975023 NJ

Addresses

Primary practice location

758 Upper Grandview Rd
Jasper, GA 30143-2750

Mailing address

1302 Upper Grandview Rd
Jasper, GA 30143-2744
Phone (770) 893-7115

Other practice location 1

1125 17th St Ste 1000
Denver, CO 80202-2043
Phone (720) 204-5760

Other practice location 2

2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245
Phone (480) 878-7843

Other practice location 3

157 Paragon Pkwy Ste 800
Clyde, NC 28721-9481
Phone (828) 452-6675 ext. 2220

Other practice location 4

240 N Broadway Ste 208
Portland, OR 97227-1881
Phone (503) 664-9111

Other practice location 5

4208 Six Forks Rd Ste 1000
Raleigh, NC 27609-5738
Phone (919) 877-6800

Other practice location 6

700 Commerce Dr Ste Ofc451
Oak Brook, IL 60523-1546
Phone (773) 920-2755

Other practice location 7

3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997
Phone (470) 613-7878

Other practice location 8

2311 Wilson Blvd Fl 3
Arlington, VA 22201-5436
Phone (804) 571-2336

Other practice location 9

800 Kinderkamack Rd Ofc 121
Oradell, NJ 07649-1534
Phone (347) 252-9771

Other practice location 10

30700 Telegraph Rd Ste 15401
Bingham Farms, MI 48025-4524
Phone (313) 631-7878

Other names 1

  • Ms. Jenna Lee Prince Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA, NC, IL, NJ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20260409001408 MI Practitioner - Registered Dietitian Or Nutrition Professional 3678048485 Reassigns benefits to 2 organizations
I20260414002328 GA Practitioner - Registered Dietitian Or Nutrition Professional 3678048485 Reassigns benefits to 1 organization
I20260416002641 NC Practitioner - Registered Dietitian Or Nutrition Professional 3678048485 Reassigns benefits to 1 organization
I20260519001198 IL Practitioner - Registered Dietitian Or Nutrition Professional 3678048485 Reassigns benefits to 5 organizations
I20260519004272 NJ Practitioner - Registered Dietitian Or Nutrition Professional 3678048485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1125 17TH St
Suite 1000
Denver, CO 80202-2043

1125 17TH St
Suite 1000
Denver, CO 80202-2092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
975023AZMDRegistered Dietitian
975023COMDRegistered Dietitian
LD003971GAMDRegistered Dietitian
164.010910ILMDRegistered Dietitian
L003218NCMDRegistered Dietitian
975023NJMDRegistered Dietitian
10264236ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Health NJ, LLC CurrentSince Apr 13, 2026 Accepting new patients
Integrated Patient Solutions Mid-Atlantic, PC CurrentSince Apr 13, 2026 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Strive Health Or DS, LLC PastSince Aug 17, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Strive Health Or, LLC PastSince Jan 27, 2022 Accepting new patients

Locations

1125 17th St
Ste 1000
Denver, CO 80202
Phone (855) 962-4638

800 Kinderkamack Rd
Ofc 121
Oradell, NJ 07649
Phone (347) 252-9771

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1437419678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 UPPER GRANDVIEW RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301432744",
            "telephone_number": "770-893-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 UPPER GRANDVIEW RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301432750",
            "telephone_number": "770-893-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 17th St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022043",
            "country_code": "US",
            "telephone_number": "720-204-5760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 E Camelback Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164245",
            "country_code": "US",
            "telephone_number": "480-878-7843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 Paragon Pkwy Ste 800",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287219481",
            "country_code": "US",
            "telephone_number": "828-452-6675 x2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 N Broadway Ste 208",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271881",
            "country_code": "US",
            "telephone_number": "503-664-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4208 Six Forks Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276095738",
            "country_code": "US",
            "telephone_number": "919-877-6800",
            "fax_number": "844-881-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Commerce Dr Ste Ofc451",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231546",
            "country_code": "US",
            "telephone_number": "773-920-2755",
            "fax_number": "630-317-7579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Cumberland Blvd SE Ste 500",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303395997",
            "country_code": "US",
            "telephone_number": "470-613-7878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2311 Wilson Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015436",
            "country_code": "US",
            "telephone_number": "804-571-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Kinderkamack Rd Ofc 121",
            "address_purpose": "LOCATION",
            "city": "Oradell",
            "state": "NJ",
            "postal_code": "076491534",
            "country_code": "US",
            "telephone_number": "347-252-9771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30700 Telegraph Rd Ste 15401",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254524",
            "country_code": "US",
            "telephone_number": "313-631-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCE-FARMER",
        "first_name": "JENNA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "R.D. , L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003218",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "975023",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "975023",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10264236",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003971",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.010910",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "975023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "PRINCE",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "R.D. , L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.