Active NPI
Jennifer Jeanne Henry, RD
- Registered Dietitian
- Roanoke, VA
National Provider Identifier
1477721850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1910 Electric Rd
Roanoke, VA 24018-1621 - Phone
- (540) 772-4930
- NPI assigned
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1910 Electric Rd
Roanoke, VA 24018-1621
Mailing address
1910 Electric Rd
Roanoke, VA 24018-1621
Phone (540) 772-4930
Other names 1
- Jennifer Jeanne Wiebe
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nutrition Resource, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Nutrition Resource, Inc | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1477721850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 ELECTRIC RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181621",
"telephone_number": "540-772-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 ELECTRIC RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181621",
"telephone_number": "540-772-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "JENNIFER",
"middle_name": "JEANNE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WIEBE",
"middle_name": "JEANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.