Jocelyn Warren, RD, LD, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2018010193 Issued in MO

Practice address

12495 Highway T
Marionville, MO 65705-7121

Phone

(417) 880-4187

NPI assigned

Dec 19, 2016

Last updated

Oct 28, 2021By 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 2

Addresses

Other names 1

• Jocelyn Wombles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1558806000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12495 HIGHWAY T",
            "city": "MARIONVILLE",
            "state": "MO",
            "postal_code": "657057121",
            "telephone_number": "417-880-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12495 HIGHWAY T",
            "city": "MARIONVILLE",
            "state": "MO",
            "postal_code": "657057121",
            "telephone_number": "417-880-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JOCELYN",
        "name_prefix": "Mrs.",
        "credential": "RD, LD, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60694929",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2018010193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "WOMBLES",
            "credential": "RD, CD, CNSC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dan Rinker
• Jason L Shaw, P.T.
• The Ozarks Methodist Manor
• John Victor Tonjuk, RPH.
• Mary Catherine Tonjuk, RPH.
• Christine Elizabeth Werner, NP
• Heather Lynn Whittington

• Registered Dietitian in Marionville, MO
• Providers in Marionville, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.