Active NPI
Jenifer Chang, RDN
- Registered Dietitian
- Memphis, TN
National Provider Identifier
1568081669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1094682
- Practice address
- 880 Madison Ave
Memphis, TN 38103-3409 - Phone
- (315) 708-4235
- NPI assigned
- Apr 9, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1094682 | TX | Primary |
Addresses
Primary practice location
880 Madison Ave
Memphis, TN 38103-3409
Mailing address
880 Madison Ave
Memphis, TN 38103-3409
Phone (315) 708-4235
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1094682 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1568081669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033409",
"telephone_number": "315-708-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033409",
"telephone_number": "315-708-4235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JENIFER",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-09",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "1094682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Sophia Bonnetia Chandler, ACNS-BC
- Vicki Little Chandler, FNP
- Chandler&Irving Medical
- Melissa Erin Chando, NP-C
- Dominique Chang, M.D.
- Changing Life at Home Homecare Corp (Touching Hearts Homecare)
- Changing Minds Inc
- Changing the Criterion ABA Therapy
- Alexandra Dee Maxted Chantara, M.D.
- Nicholas Suknarin Chantara, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.