Jamie Neven, RD
Individual provider Active NPI Registered Dietitian · Germanton, NC
NPI 1649052192 · NPPES record last updated Oct 19, 2023
Key facts
- NPI
- 1649052192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164007447 (IL)
- Practice address
- 7551 Baux Mountain Rd
Germanton, NC 27019-9494 - Phone
- (815) 953-4669
- NPI assigned
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164007447 | IL | MD | Registered Dietitian |
| 37002994A | IN | MD | Registered Dietitian |
| L007009 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37002994A | IN | |
| Registered Dietitian | 133V00000X | L007009 | NC | |
| Registered Dietitian | 133V00000X | 164007447 | IL | Yes |
Addresses
Primary practice location
7551 Baux Mountain Rd
Germanton, NC 27019-9494
Mailing address
7551 Baux Mountain Rd
Germanton, NC 27019-9494
Other providers in Germanton, NC
All providers in Germanton, NC · Registered Dietitian in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.