Active NPI
Jenna Rose Talleda, R.D., L.D./N, CIEC
- Nutritionist
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- ND5196
- Practice address
- 1448 Churchill Cir # S204
Naples, FL 34116-3613 - Phone
- (239) 338-7420
- NPI assigned
- Jul 13, 2009
- Last updated
- Oct 3, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND5196 | FL | |
| Nutritionist | 133N00000X | ND5196 | FL | Primary |
Addresses
Primary practice location
1448 Churchill Cir # S204
Naples, FL 34116-3613
Mailing address
1448 Churchill Cir # S204
Naples, FL 34116-3613
Phone (239) 338-7420
Other practice location 1
8961 Daniels Center Dr Ste 401
Fort Myers, FL 33912-0314
Phone (239) 433-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 W 24TH St
FL 4
New York, NY 10010-3239
19 W 24TH St FL
Suite 4
New York, NY 10010-3239
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND5196 | FL | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSH Health PA | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1780813733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 CHURCHILL CIR # S204",
"city": "NAPLES",
"state": "FL",
"postal_code": "341163613",
"telephone_number": "239-338-7420",
"fax_number": "239-433-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 CHURCHILL CIR # S204",
"city": "NAPLES",
"state": "FL",
"postal_code": "341163613",
"telephone_number": "239-338-7420"
}
],
"practiceLocations": [
{
"address_1": "8961 Daniels Center Dr Ste 401",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339120314",
"country_code": "US",
"telephone_number": "239-433-6700",
"fax_number": "239-433-6703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALLEDA",
"first_name": "JENNA",
"middle_name": "ROSE",
"credential": "R.D., L.D./N, CIEC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND5196",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND5196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.