Individual provider Active NPI

Jennifer Dunn Ralph, RDN, NBC-HWC

  • Health & Wellness Coach
  • Colorado Springs, CO
National Provider Identifier
1518698307
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
486022576
Practice address
5540 Rose Ridge LN
Colorado Springs, CO 80917-4209
Phone
(256) 476-8048
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86048653
Health & Wellness Coach 171400000X 486022576 Primary

Addresses

Primary practice location

5540 Rose Ridge LN
Colorado Springs, CO 80917-4209

Mailing address

5540 Rose Ridge LN
Colorado Springs, CO 80917-4209
Phone (256) 476-8048

Other practice location 1

110 12th St N
Birmingham, AL 35203-1537
Phone (855) 255-3362

Other names 1

  • Jennifer Lynn Dunn Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@packhealth.com Direct

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

OrganizationSpecialtyStatusNew patients
Pack Health, LLC Health & Wellness Coach CurrentSince Jun 1, 2022 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

110 12th St N
Birmingham, AL 35203
Phone (855) 255-2362

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1518698307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 ROSE RIDGE LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174209",
            "telephone_number": "256-476-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 ROSE RIDGE LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174209",
            "telephone_number": "256-476-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 12th St N",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352031537",
            "country_code": "US",
            "telephone_number": "855-255-3362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALPH",
        "first_name": "JENNIFER",
        "middle_name": "DUNN",
        "credential": "RDN, NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86048653",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": "486022576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@packhealth.com",
            "affiliation": "N",
            "endpointDescription": "secure inbox",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 12th St N",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352031537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DUNN",
            "middle_name": "LYNN",
            "credential": "RDN, NBC-HWC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.