Active NPI
Jennifer Kane, RDN, LN, CLC
- Registered Dietitian
- Missoula, MT
National Provider Identifier
1477054526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- MED-NUTR-LIC-36063
- Practice address
- 825 W Kent Ave
Missoula, MT 59801 - Phone
- (406) 241-2495
- Fax
- (406) 721-0055
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | MED-NUTR-LIC-36063 | MT | Primary |
Addresses
Primary practice location
825 W Kent Ave
Missoula, MT 59801
Mailing address
825 W Kent Ave
Missoula, MT 59801-6619
Phone (406) 241-2495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-NUTR-LIC-36063 | MT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1477054526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 W KENT AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016619",
"telephone_number": "406-241-2495",
"fax_number": "406-721-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 W KENT AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59801",
"telephone_number": "406-241-2495",
"fax_number": "406-721-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "JENNIFER",
"credential": "RDN, LN, CLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "MED-NUTR-LIC-36063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.