Jennifer Koorenny, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60018752 Issued in WA

Practice address

3670 Stone Way N
Suite 201
Seattle, WA 98103-8004

Phone

(206) 834-4100

NPI assigned

Mar 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1720303167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 6TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174939",
            "telephone_number": "206-605-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 STONE WAY N",
            "address_2": "SUITE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038004",
            "telephone_number": "206-834-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOORENNY",
        "first_name": "JENNIFER",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60018752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preetma Kaur Kooner, MD
• Jason Koop
• Krystal Dawn Koop
• Allen W. Koopman, CRNA
• Samantha Koopmans, PTA
• Jamie M Koorland, PT, DPT
• Rebekah J Kooy, PA-C
• Patrick Kopacko, RN
• Elizabeth Grace Kopaskie, LICSW
• Lehua Magdalen Kopczynski, MA

• Registered Dietitian in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.