Jessica Lynn Berens, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005057 Issued in NC

Practice address

6633 Fairview Rd
Charlotte, NC 28210-3321

Phone

(704) 366-1264

NPI assigned

Jan 25, 2017

Last updated

Jan 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Renfrew Center of N. Carolina, LLC

  • Dietary Manager
  • Charlotte, NC
  • NPI 1144725870
  NPD (past)
• The Renfrew Centers, Inc.

  dba The Renfrew Center of North Carolina, LLC

  • Adult Mental Health Clinic/Center
  • Charlotte, NC
  • NPI 1841497518
  NPD (past)

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1528505872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103321",
            "telephone_number": "704-366-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103321",
            "telephone_number": "704-366-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Bentzoni, PHARM.D.
• Mary Kay Benz, CRNA
• Tony Matthew Benz, MHSC, ATC, LAT
• Thomas Jude Berault, MD
• Lawrence Charles Berendt, PA
• Eirwyn Beres
• Megan Beres, RD
• Mackenzie Lynn Berg, PLMHP, PCMSW
• Timothy Berg, PHARMD
• Alyse Michelle Berger, PNP

• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.