JENNIFER WILFONG (NPI# 1821606898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821606898 |
| Entity Type | Individual |
| Full Name | JENNIFER WILFONG |
| Credential | RD |
| Practice Address |
400 Gibraltar Ln Lorena TX 76655-3622 |
| Practice Telephone | 7194392470 |
| Mailing Telephone | 7194392470 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
DT83244 | TX | Dietary & Nutritional Service Providers |
| Street Address |
400 GIBRALTAR LN |
| City | LORENA |
| State | TX |
| Zip Code | 76655-3622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215313838 | Mary Erin Boyette | Specialist/Technologist | 3100 Beutel Rd, Lorena, TX 76655 | 2015-08-05 |
| 1720376809 | Jesse Clark Griffin IIi | Counselor | 653 E. Rocket Road, Lorena, TX 76655 | 2011-07-11 |
| 1386838886 | Jonette P Albright | Nurse Practitioner | 131 N I 35 Frontage Rd, Lorena, TX 76655 | 2007-08-29 |
| 1114038254 | Workers Injury Management and Evaluation Services, P.a. | Orthopaedic Surgery | 1981 S. Old Temple Road, Lorena, TX 76655 | 2006-08-31 |
| 1972146785 | Richard Jespersen | Pharmacist | 5900 Bosque Blvd, Drug Emporium, Waco, TX 76655 | 2019-10-24 |
| 1619079217 | William E Blair Jr. | Orthopaedic Surgery | 1981 S. Old Temple Road, Lorena, TX 76655 | 2006-09-02 |
| 1619235678 | Lorena Isd | Local Education Agency (LEA) | 500 Frontage Rd, Lorena, TX 76655-0097 | 2012-04-27 |
| 1720249378 | Catherine Weber Ballew | Optometrist | 12564 Chapel Rd, Lorena, TX 76655-3008 | 2008-06-17 |
| 1588781397 | Antonia D Lopez | Social Worker | 1631 Mourning Dove Ln, Lorena, TX 76655-3140 | 2007-03-25 |
| 1700491735 | Austin Ruppanner | Nurse Practitioner | 2205 Mourning Dove Ln, Lorena, TX 76655-3141 | 2020-09-15 |
| Find all providers in zip 76655 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152264 | West Texas Dietetics, LLC | Dietitian, Registered | 1547 Stubbs St, Amarillo, TX 79106-2307 | 2019-06-10 |
| 1588145171 | Lea Peyton Gebhardt | Dietitian, Registered | 809 W 12th St Ste E4, Austin, TX 78701-1703 | 2018-08-22 |
| 1225553068 | Sarah Dluhos | Dietitian, Registered | 11490 Walnut Rd, College Station, TX 77845-6246 | 2017-08-12 |
| 1396268439 | Estep Nutrition Consulting Inc | Dietitian, Registered | 720 N Post Oak Rd Ste 280, Houston, TX 77024-3813 | 2017-07-20 |
| 1104366970 | Janelle Marie Andonie Bocock | Dietitian, Registered | 6162 Maple Ave Apt 2308, Dallas, TX 75235-6820 | 2017-02-27 |
| 1982080396 | My Frisco Dietitian | Dietitian, Registered | 8553 Davis Dr, Frisco, TX 75034-8295 | 2015-08-07 |
| 1114301546 | Katia Vega | Dietitian, Registered | 1805 Ruben Torres Blvd Ste B29a, Brownsville, TX 78521-1115 | 2015-07-15 |
| 1457697260 | Certified Nutrition Consultants, Pllc | Dietitian, Registered | 855 W Price Rd, Suite 3, Brownsville, TX 78520-8742 | 2012-12-26 |
| 1992061691 | Chelsea Carson Schulz | Dietitian, Registered | 6206 Iola Ave, Suite 109, Lubbock, TX 75604 | 2012-04-06 |
| 1902030695 | Karen A Martin | Dietitian, Registered | 15323 Antler Creek Dr, San Antonio, TX 78248-2012 | 2009-05-08 |
| Find all providers with the same taxonomy | ||||
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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.