Jennifer Louise McDaniel, MS, RDN, CSSD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2003000969 Issued in MO

Practice address

230 S Bemiston Ave Ste 430
Saint Louis, MO 63105-1907

Phone

(314) 413-1996

NPI assigned

Jan 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• McDaniel Nutrition Therapy, LLC

  • Registered Dietitian
  • Saint Louis, MO
  • NPI 1760022677

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578182400000",
    "number": "1508405788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 SOMERSET AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052924",
            "telephone_number": "314-413-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 430",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "314-413-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, CSSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "896355",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2003000969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jennifer@mcdanielnutrition.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "230 S Bemiston Ave Ste 430",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631051907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan McCutchen, ATC
• Jaleesa L McCutcheon, LMSW
• Eric Martin McDade, DO
• Logan Scott McDanel, AGACNP-BC
• McDaniel Nutrition Therapy, LLC
• Kelvin Paul McDaniel Jr., D.O.
• Kendall McDaniel, MD
• Lynn J. McDaniel, PH.D.
• Phillip McDaniel, D.O.
• Sharon Ann McDaniel, MA, PLPC

• Registered Dietitian in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.