MS. JENNA LEE DAUGHERTY (NPI# 1629371265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629371265 |
| Entity Type | Individual |
| Full Name | MS. JENNA LEE DAUGHERTY |
| Credential | RD |
| Practice Address |
25550 Chagrin Blvd Ste 200 Beachwood OH 44122-4640 |
| Mailing Address |
11101 Lake Ave Apt 5 Cleveland OH 44102-1113 |
| Practice Telephone | 4406697356 |
| Mailing Telephone | 4406697356 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
25550 CHAGRIN BLVD STE 200 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-4640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548220759 | Kelly M Nypaver | Counselor | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122 | 2006-03-23 |
| 1215495130 | Heather Anne Petraszko | Dietitian, Registered | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122-4640 | 2019-03-10 |
| 1972080950 | Kathryn Ann Bruno | Nurse Practitioner | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122-4640 | 2018-07-23 |
| 1831691294 | Bhakti Patel Doroodian | Marriage & Family Therapist | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122-4640 | 2018-03-01 |
| 1801302369 | Anne Root | Counselor | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122-4640 | 2017-12-20 |
| 1982118105 | Kelly Caryn Ausman | Nurse Practitioner | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122-4640 | 2017-11-27 |
| 1427596725 | Samantha Holmes | Student in an Organized Health Care Education/Training Program | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122-4640 | 2017-02-07 |
| 1407278492 | Elizabeth Incorvia | Counselor | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122-4640 | 2014-01-10 |
| 1790028751 | Stephanie A Liggett | Social Worker | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122-4640 | 2013-03-28 |
| 1851662068 | Peter Damian Simkins Sluk | Marriage & Family Therapist | 25550 Chagrin Blvd Ste 200, Beachwood, OH 44122-4640 | 2012-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| 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 |
|---|---|---|---|---|
| 1467074641 | Lindsay Ciccone | Dietitian, Registered | 3600 Park East Dr Apt 532, Beachwood, OH 44122-4357 | 2020-05-11 |
| 1386287498 | Lisa Marie Baker | Dietitian, Registered | 25201 Chagrin Blvd Ste 190, Beachwood, OH 44122-5633 | 2019-10-21 |
| 1669032587 | Cheryl K Lever | Dietitian, Registered | 23115 Greenlawn Ave, Beachwood, OH 44122-1419 | 2019-06-13 |
| 1043719834 | Valerie Nicholson | Dietitian, Registered | 25550 Chargrin Blvd, Ste 200, Beachwood, OH 44122 | 2018-02-07 |
| 1427507607 | Patti Herrmann | Dietitian, Registered | 401 Halliard Ave, Beachwood, NJ 08722-2619 | 2016-09-28 |
| 1760930333 | Katelyn Ferro | Dietitian, Registered | 23215 Commerce Park Ste 205b, Beachwood, OH 44122-5851 | 2016-09-13 |
| 1245695618 | Carissa Kuehnert | Dietitian, Registered | 25550 Chagrin Blvd., Suite 200, Beachwood, OH 44122 | 2015-12-29 |
| 1821360991 | Alexis Westra Supan | Dietitian, Registered | 2403 Brian Dr, Beachwood, OH 44122-1705 | 2012-02-03 |
| 1871731208 | Julie A Norman | Dietitian, Registered | 25550 Chagrin Blvd, Suite 200, Beachwood, OH 44122-5638 | 2009-01-22 |
| 1194927616 | Vicki A Resnick | Dietitian, Registered | 23250 Chagrin Blvd Ste 425, Beachwood, OH 44122-5445 | 2007-06-05 |
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| 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.