JENNIFER ROSE (NPI# 1063052264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063052264 |
| Entity Type | Individual |
| Full Name | JENNIFER ROSE |
| Credential | RD |
| Practice Address |
2121 Lake Ave Fort Wayne IN 46805-5100 |
| Mailing Address |
1606 Millennium Xing Fort Wayne IN 46845-9198 |
| Practice Telephone | 2604265431 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 37001996A | IN | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1606 Millennium Xing, Fort Wayne, IN 468459198 | 2603416417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134693229 | Jennifer Rose | Speech-Language Pathologist | 1130 Old Stone Ln, Arnold, MD 21012-2054 | 2019-01-11 |
| 1811488216 | Jennifer James Rose | Psychologist | 1s376 Summit Ave Ste 5b, Oakbrook Terrace, IL 60181-3968 | 2018-05-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| 1366846628 | Jennifer Patricia Rose | Social Worker | 2903 Se 282nd Ct, Camas, WA 98607-9541 | 2014-10-15 |
| 1316130750 | Jennifer Margaret Rose | Registered Nurse | 1128 Marsh Wren Dr, Patterson, CA 95363-9053 | 2007-08-20 |
| 1952324261 | Jennifer Trider Rose | Dentist | 7110 Patterson Ave, Ste C, Henrico, VA 23229-6755 | 2006-07-26 |
| 1235763038 | Jennifer Lynn Rose | Counselor | 401 W Chicago St, Jonesville, MI 49250-1111 | 2020-03-02 |
| 1831741792 | Jennifer Louise Rose | Counselor | 2600 Cordova St Ste 101, Anchorage, AK 99503-2745 | 2019-07-11 |
| 1447727771 | Jennifer Rose | Occupational Therapist | 607 North Ave Ste 14-4, Wakefield, MA 01880-1306 | 2018-10-24 |
| 1326548009 | Jennifer Rose | Case Manager/Care Coordinator | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2018-02-19 |
| Street Address |
2121 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021100 | Karen F Sloane | Podiatrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2005-05-24 |
| 1346848348 | Jodi Lyn Van Veld | Occupational Therapist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-10-12 |
| 1346854213 | Amy Solaro | Social Worker | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-09-08 |
| 1144831116 | Ann Marie Brunner | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-13 |
| 1871104042 | Lynne Koch | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1790396950 | Joseph Amin Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1144831678 | Youlijan Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-10 |
| 1881204139 | Lawrence Ejiofo | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-03 |
| 1821606575 | Nazret Tecle | Optometrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-07-20 |
| 1689291619 | Adam Kreiger | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
| 1154981389 | Rebecca Paden | Dietitian, Registered | 1315 Directors Row Ste 210, Fort Wayne, IN 46808-1284 | 2019-06-19 |
| 1821592221 | Katherine Hake | Dietitian, Registered | 2220 Lima Plank Pkwy, Fort Wayne, IN 46818-8968 | 2018-03-20 |
| 1730533852 | Charlene Ann Burian | Dietitian, Registered | 3213 Twisted Branch Pl, Fort Wayne, IN 46804-3436 | 2016-04-14 |
| 1164880746 | Kandi Denise Dawson | Dietitian, Registered | 2520 E. Dupont Rd, Nutrition Services, Fort Wayne, IN 46825 | 2016-02-10 |
| 1437517083 | Julie West | Dietitian, Registered | 2520 East Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-02-10 |
| 1972968295 | Alison Johnson | Dietitian, Registered | 1833 Midsummer Night Cv, Fort Wayne, IN 46818-8469 | 2015-12-31 |
| 1053776344 | Tiane Bianski | Dietitian, Registered | 6322 Farmswood Drive Apt 1b, Fort Wayne, IN 46804 | 2015-12-31 |
| 1750623591 | Courtney Rinehold | Dietitian, Registered | 1607 Glacier Ridge Rd, Fort Wayne, IN 46845-9720 | 2013-03-19 |
| 1346541562 | Diane E Glass | Dietitian, Registered | 11141 Parkview Plaza Dr Ste 305b, Fort Wayne, IN 46845-1713 | 2010-11-04 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on JENNIFER ROSE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.