Active NPI
Jennifer Lynn Gregoline, RD
- Registered Dietitian
- Indianapolis, IN
National Provider Identifier
1497982490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 913931
- Practice address
- 6625 Network Way Ste 100
Intech 11
Indianapolis, IN 46278-0007 - Phone
- (317) 275-7010
- Fax
- (317) 275-7012
- NPI assigned
- Jun 17, 2009
- 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 | 913931 | IN | Primary |
Addresses
Primary practice location
6625 Network Way Ste 100
Intech 11
Indianapolis, IN 46278-0007
Mailing address
6625 Network Way Ste 100
Intech 11
Indianapolis, IN 46278-0007
Phone (317) 275-7010
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 |
|---|---|---|---|
| 913931 | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Indiana Pathology, PC | Past | Accepting new patients | |
| Columbus Regional Hospital Inc | Past | Accepting new patients | |
| Columbus Regional Hospital | Past | Accepting new patients | |
| Pulaski Memorial Hospital | Past | Accepting new patients | |
| Pulaski Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 5
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.
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- Skilled Nursing Facility
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- Anatomic Pathology & Clinical Pathology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1497982490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6625 NETWORK WAY STE 100",
"address_2": "INTECH 11",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462780007",
"telephone_number": "317-275-7010",
"fax_number": "317-275-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 NETWORK WAY STE 100",
"address_2": "INTECH 11",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462780007",
"telephone_number": "317-275-7010",
"fax_number": "317-275-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGOLINE",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "913931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.