Active NPI
Jenifer Howell Clements, RDN
- Registered Dietitian
- Prattville, AL
National Provider Identifier
1689130932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2049
- Practice address
- 928 Gillespie St
Prattville, AL 36066-5414 - Phone
- (334) 595-3900
- NPI assigned
- Feb 12, 2019
- Last updated
- Feb 12, 2019
- 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 | 2049 | AL | Primary |
Addresses
Primary practice location
928 Gillespie St
Prattville, AL 36066-5414
Mailing address
4500 Montevallo Rd Ste D108
Irondale, AL 35210-3128
Phone (205) 710-4445
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2049 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1689130932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 MONTEVALLO RD STE D108",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352103128",
"telephone_number": "205-710-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 GILLESPIE ST",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360665414",
"telephone_number": "334-595-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "JENIFER",
"middle_name": "HOWELL",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.