Individual provider Active NPI

Jenna-Lee Van Tonder, RDN

  • Registered Dietitian
  • Clarksville, TN
National Provider Identifier
1831975770
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4656 Issued in TN
Practice address
919 Tiny Town Rd Unit B
Clarksville, TN 37042-7661
Phone
(931) 218-6640
Fax
(866) 966-0549
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 4656 TN Primary

Addresses

Primary practice location

919 Tiny Town Rd Unit B
Clarksville, TN 37042-7661

Mailing address

919 Tiny Town Rd Unit B
Clarksville, TN 37042-7661
Phone (931) 218-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031000265 TN Practitioner - Registered Dietitian Or Nutrition Professional 5092161851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1141 Chinook Cir
Clarksville, TN 37042-8235
Phone (931) 218-6640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4656TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition for You, LLC Dietitian, Registered CurrentSince Aug 31, 2023 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

919 Tiny Town Rd
Unit B
Clarksville, TN 37042
Phone (501) 318-3760

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1831975770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 TINY TOWN RD UNIT B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427661",
            "telephone_number": "931-218-6640",
            "fax_number": "866-966-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 TINY TOWN RD UNIT B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427661",
            "telephone_number": "931-218-6640",
            "fax_number": "866-966-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TONDER",
        "first_name": "JENNA-LEE",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "4656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.