Active NPI
Jenna Lemenager, MS, RDN, LDN
- Registered Dietitian
- Peoria, IL
National Provider Identifier
1619787843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86176796
- Practice address
- 5400 W Landens Way Apt 1B
Peoria, IL 61615-9226 - Phone
- (815) 931-0106
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 86176796 | IL | Primary |
Addresses
Primary practice location
5400 W Landens Way Apt 1B
Peoria, IL 61615-9226
Mailing address
2516 N State Route 49
Clifton, IL 60927-7013
Phone (815) 931-0106
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86176796 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1619787843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 N STATE ROUTE 49",
"city": "CLIFTON",
"state": "IL",
"postal_code": "609277013",
"telephone_number": "815-931-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 W LANDENS WAY APT 1B",
"city": "PEORIA",
"state": "IL",
"postal_code": "616159226",
"telephone_number": "815-931-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMENAGER",
"first_name": "JENNA",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "86176796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.