Active NPI
Jenna Yelenosky, RDN, LDN
- Registered Dietitian
- Atlantic Beach, FL
National Provider Identifier
1508526237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86108966
- Practice address
- 719 Main St
Atlantic Beach, FL 32233-2546 - Phone
- (407) 267-0450
- NPI assigned
- Dec 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | ND10555 | FL | |
| Registered Dietitian | 133V00000X | 86108966 | FL | Primary |
Addresses
Primary practice location
719 Main St
Atlantic Beach, FL 32233-2546
Mailing address
719 Main St
Atlantic Beach, FL 32233-2546
Phone (407) 267-0450
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND10555 | FL | MD | Nutrition Education Nutritionist |
| 86108966 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restored Purpose Counseling Services, PLLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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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- Mental Health Counselor
- Jacksonville, FL
- NPI 1992321640
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1508526237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 MAIN ST",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322332546",
"telephone_number": "407-267-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 MAIN ST",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322332546",
"telephone_number": "407-267-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELENOSKY",
"first_name": "JENNA",
"name_prefix": "Ms.",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-21",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "FL",
"license": "ND10555",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "86108966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlantic Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.