Jennifer R Maniaci, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2007027919 Issued in MO

Practice address

231 W Lockwood Ave
Suite 201
Saint Louis, MO 63119-2327

Phone

(314) 968-1900

Fax

(314) 968-1901

NPI assigned

Feb 2, 2010

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• McCallum Group, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • St. Louis, MO
  • NPI 1275625436
  NPD (past)
• Webster Wellness Professionals Inc

  • Psychologist
  • Saint Louis, MO
  • NPI 1639494891
  NPD (past)

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1972835965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W LOCKWOOD AVE",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192327",
            "telephone_number": "314-968-1900",
            "fax_number": "314-968-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W LOCKWOOD AVE",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192327",
            "telephone_number": "314-968-1900",
            "fax_number": "314-968-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIACI",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2007027919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parth Mangrola, DMD
• Ashwin Mani, M.D.
• Mary Elizabeth Mani, M.D.
• Naganathan Bhagvathy Mani, MD
• Olivia Mani, MAT, ATC, LAT
• Nina Rajini Manian, MD
• Hannah Manion, MD
• Tyler Jeffrey Manion, LAT, ATC
• Sonakshi Manjunath, MD
• Kathy Mankofsky, RD

• Registered Dietitian in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Dietitian in Missouri

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