Active NPI
Jenna Bernard
- Registered Dietitian
- Poughkeepsie, NY
National Provider Identifier
1982596433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 012703
- Practice address
- 15 Levine LN Unit 1501
Poughkeepsie, NY 12603-6468 - Phone
- (203) 505-2101
- NPI assigned
- Jul 18, 2025
- Sex
- Unspecified or another gender identity
- 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 | 012703 | NY | Primary |
Addresses
Primary practice location
15 Levine LN Unit 1501
Poughkeepsie, NY 12603-6468
Mailing address
14 E Meadow Rd
Westport, CT 06880-3011
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012703 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everfit Inc | Dietitian, Registered | Past | Accepting new patients |
| Henry Ford Health Rochester Hospital | 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.
-
- Neurology Physician
- Rochester, MI
- NPI 1366565442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1982596433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 E MEADOW RD",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 LEVINE LN UNIT 1501",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036468",
"telephone_number": "203-505-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "JENNA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-07-18",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "012703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.