Jordan Jennewine, MS, RD, LD, CSSD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.08304 Issued in OH

Practice address

14455 Clay Terrace Blvd Ste a&B
Carmel, IN 46032-3605

Phone

(937) 344-3814

NPI assigned

Sep 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1467970020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 CLAY TERRACE BLVD STE A&B",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323605",
            "telephone_number": "937-344-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNEWINE",
        "first_name": "JORDAN",
        "credential": "MS, RD, LD, CSSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.08304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey a Linderman DDS, PC
• Robert W Jeffries, PHD
• Mary Catharine Jenkins, PT, DPT
• Nicholas Paige Jenkins, MD
• Richard L Jenkins
• Jennifer Layden Counseling LLC
• Tom McMahon Jennings, ATC
• Lauren Elizabeth Jensen
• Mary Jensen, DPT
• Rebekah N. Jensen, MSW, LCSW

• Registered Dietitian in Carmel, IN
• Providers in Carmel, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.