Jennifer Buquo Madzin, MS, RD, LDN, CDE, BC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000001224 Issued in TN

Practice address

725 Glenwood Dr Ste E588
Chattanooga, TN 37404-1176

Phone

(423) 206-9025

Fax

(423) 206-9026

NPI assigned

Oct 22, 2014

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1548665391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E588",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041176",
            "telephone_number": "423-206-9025",
            "fax_number": "423-206-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DR STE E588",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041176",
            "telephone_number": "423-206-9025",
            "fax_number": "423-206-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADZIN",
        "first_name": "JENNIFER",
        "middle_name": "BUQUO",
        "credential": "MS, RD, LDN, CDE, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000001224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinay D Madan, MD
• Emily Smith Maddux, MS-MPH, RDN, LDN
• Loren Rachel Madore, BCBA
• Karla Patricia Madrid Rivas, M.D.
• Cautya Vashti Madry
• Jenny Maffett, M.S.N.
• Anamaria Cordero Mafnas, LCSW
• Marsha Magill
• Robert M Magill, MD
• Shanna Magloire Regis, FNP-C

• Registered Dietitian in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.