JENNIFER BUQUO MADZIN


Address: 1651 Gunbarrel Rd Ste 301, Chattanooga, TN 37421-3291
Phone: 4239549010

JENNIFER BUQUO MADZIN (NPI# 1548665391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548665391
Entity Type Individual
Full Name JENNIFER BUQUO MADZIN
Credential MS, RD, LDN, CDE, BC
Practice Address 1651 Gunbarrel Rd Ste 301
Chattanooga
TN 37421-3291
Mailing Address 4976 Alpha Ln
Hixson
TN 37343-5470
Practice Telephone 4239549010
Practice Fax Number 4233080281
Mailing Telephone 4233080280
Mailing Fax Number 4233080281
Enumeration Date 2014-10-22
Last Update Date 2020-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LDN0000001224 TN Dietary & Nutritional Service Providers
N 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
1224 TN Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN Q047596 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1651 Gunbarrel Rd Ste 301, Chattanooga, TN 374213291 4239549010 4233080281
5864 Highway 153 Ste 116, Hixson, TN 373434859 4239549010 4233080277

Office Location

Street Address 1651 GUNBARREL RD STE 301
City CHATTANOOGA
State TN
Zip Code 37421-3291

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376663294 Asma Sohail Khan Internal Medicine 1651 Gunbarrel Rd Ste 301, Chattanooga, TN 37421-3291 2007-04-02
1932614484 Agilitas Usa, Inc Clinic/Center 1651 Gunbarrel Rd Ste 301, Chattanooga, TN 37421-3291 2017-12-06
1003215500 Misty Amber Gilliland Nurse Practitioner 1651 Gunbarrel Rd Ste 301, Chattanooga, TN 37421-3291 2014-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558991588 Janera Pentiah Physician Assistant 1360 Mackey Branch Dr, Chattanooga, TN 37421 2020-01-17
1750921367 Stephan Ian Belasco Counselor 1360 Mackey Branch Dr., Chattanooga, TN 37421 2020-01-11
1932745817 Sound Living Inc Community/Behavioral Health 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 2019-11-26
1245875046 Chattanooga Compounding Pharmacy Inc. Pharmacy 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 2019-11-15
1083105803 Trauma and Addiction Recovery Center Counselor 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 2018-05-29
1497257448 Claude James Bowden Counselor 7372 Applegate Lane, Chattanooga, TN 37421 2018-03-06
1093213332 Preferred Primary Care Clinic/Center 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 2018-01-31
1124526777 Elizabeth Marie Wright Nurse Practitioner 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 2018-01-30
1477065712 Publix Tennessee LLC Durable Medical Equipment & Medical Supplies 7326 Mccutcheon Rd, Chattanooga, TN 37421 2017-10-26
1144746645 Mobility At Home LLC Contractor 6307 E Brainerd Rd, Chattanooga, TN 37421 2017-08-16
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760099634 Madison Anne Templeton Dietitian, Registered 1403 Union Ave, Chattanooga, TN 37404-3427 2020-09-25
1609480227 Kathryn Ann Russell Dietitian, Registered 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 2020-09-01
1407469893 Farrah Matthews Reidt Dietitian, Registered 7884 Laurelton Dr, Chattanooga, TN 37421-1953 2020-08-26
1225667751 Stephanie West Dietitian, Registered 324 E 8th St Apt 10, Chattanooga, TN 37403-4034 2020-04-06
1346876083 Kari Intemann Dietitian, Registered 251 N Lyerly St Ste 202, Chattanooga, TN 37404-2743 2020-03-13
1477186591 Emily Smith Maddux Dietitian, Registered 7811 Scrapeshin Trl, Chattanooga, TN 37421-4292 2020-02-17
1427691237 Amir Alakaam Dietitian, Registered 518 Oak St Dept 6606, Chattanooga, TN 37403-1905 2019-10-24
1558832022 Cindy Sims Dietitian, Registered 251 N Lyerly St Ste 200, Chattanooga, TN 37404-2743 2018-12-10
1003394958 Pamela Jean Kelle Dietitian, Registered 1238 Hanover St, Chattanooga, TN 37405-3020 2018-08-02
1295288371 Meghan S Sprague Dietitian, Registered 177 W Euclid Ave, Chattanooga, TN 37415-4797 2016-07-26
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Competitor

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City CHATTANOOGA
Zip Code 37421

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Dataset Information

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.

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