Active NPI
Jenna-Lee Van Tonder, RDN
- Registered Dietitian
- Clarksville, TN
National Provider Identifier
1831975770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4656
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4656 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition for You, LLC | Dietitian, Registered | Current | 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.