Active NPI
Jeena Dawn Endter, RDN, MS
- Registered Dietitian
- Port St Lucie, FL
National Provider Identifier
1881493229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86294787
- Practice address
- 13074 SW Valletta Way
Port St Lucie, FL 34987-5472 - Phone
- (239) 564-1998
- NPI assigned
- Mar 10, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86294787 | FL | Primary |
Addresses
Primary practice location
13074 SW Valletta Way
Port St Lucie, FL 34987-5472
Mailing address
13074 SW Valletta Way
Port St Lucie, FL 34987-5472
Phone (239) 564-1998
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86294787 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allara Medical Group PA | Past | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Gynecology Physician
- New York, NY
- NPI 1700450558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1881493229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13074 SW VALLETTA WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349875472",
"telephone_number": "239-564-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13074 SW VALLETTA WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349875472",
"telephone_number": "239-564-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDTER",
"first_name": "JEENA",
"middle_name": "DAWN",
"credential": "RDN, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "86294787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.