Jennifer Mann, MS, RD, CSR

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

ND8305 Issued in FL

Practice address

2630 W Broward Blvd Ste 203
Fort Lauderdale, FL 33312-1315

Phone

(954) 787-2554

NPI assigned

May 20, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jennifer Mann Nutrition, LLC

  • Renal Nutrition Registered Dietitian
  • Fort Lauderdale, FL
  • NPI 1962286039

  Nutrition, Renal

  Medicare reassignment NPD Authorized official
• BSH Health PA

  • Registered Dietitian
  • New York, NY
  • NPI 1679303465

  FL

  Medicare reassignment NPD
• Roosevelet PT PC

  • Clinic/Center
  • Valley Stream, NY
  • NPI 1215733829
  NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465
  NPD (past)
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1669039285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD STE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121315",
            "telephone_number": "954-787-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD STE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121315",
            "telephone_number": "954-787-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JENNIFER",
        "credential": "MS, RD, CSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND8305",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmann@rd4ckd.com",
            "affiliation": "N",
            "address_1": "2630 W Broward Blvd Ste 203",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333121315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adina Manica
• Geneva Manilova
• Maria Maniscalco, PHARM.D.
• Deepika Kaur Mann, DMD
• Heath Mann, PT, DPT
• Robert John Mann, DC
• Beena Mannattuparampil, PHARM.D.
• Jessica Manning
• Keely Mannoochahr
• Yahaira Manon, PMHNP-BC

• Renal Nutrition Registered Dietitian in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Renal Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.