Active NPI
Jenna Bishop, RD, LDN
- Registered Dietitian
- Hendersonville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4791
- Practice address
- 355 New Shackle Island Rd Ste 128B
Hendersonville, TN 37075-2479 - Phone
- (615) 492-6116
- Fax
- (615) 334-8962
- NPI assigned
- Mar 17, 2016
- Last updated
- Dec 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4791 | TN | Primary |
| Registered Dietitian | 133V00000X | 164005610 | IL |
Addresses
Primary practice location
355 New Shackle Island Rd Ste 128B
Hendersonville, TN 37075-2479
Mailing address
3127 W Chadwick LN
Peoria, IL 61614-1018
Phone (309) 713-6502
Other practice location 1
600 NE Water Street
Peoria, IL 61637
Phone (309) 282-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164005610 | Other | IL | RD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
355 New Shackle Island Rd
Suite 128B
Hendersonville, TN 37075-2399
Phone (615) 492-6116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164005610 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Style Weight Loss LLC | Dietitian, Registered | Current | Accepting new patients |
| Saint Francis Medical Center | Past | Accepting new patients |
Locations
355 New Shackle Island Rd
Ste 128B
Hendersonvlle, TN 37075
Phone (309) 229-4338
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Hendersonville, TN
- NPI 1427739903
Dietitian, Registered
-
dba Saint Francis Home Health
- Home Health Agency
- Peoria, IL
- NPI 1346281425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1518328665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3127 W CHADWICK LN",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141018",
"telephone_number": "309-713-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 NEW SHACKLE ISLAND RD STE 128B",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752479",
"telephone_number": "615-492-6116",
"fax_number": "615-334-8962"
}
],
"practiceLocations": [
{
"address_1": "600 NE Water Street",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "61637",
"country_code": "US",
"telephone_number": "309-282-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "JENNA",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "4791",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164005610",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD LICENSE",
"identifier": "164005610",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.