JENNA RAE CARLSON (NPI# 1902356785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902356785 |
| Entity Type | Individual |
| Full Name | JENNA RAE CARLSON |
| Credential | RDMN |
| Practice Address |
Highway 191 and Hospital Road Chinle AZ 86503 |
| Mailing Address |
Po Box Ph Chinle AZ 86503-8000 |
| Practice Telephone | 9286747166 |
| Practice Fax Number | 9286747705 |
| Mailing Telephone | 9286747166 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CDR | 86027129 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477180172 | Jenna Edin Carlson | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2020-03-24 |
| 1811456452 | Jenna Carlson | Occupational Therapist | 3500 Hilyard St, Eugene, OR 97405-3867 | 2019-03-13 |
| 1316248347 | Jenna Marie Carlson | Pharmacist | 11275 E Via Linda, Scottsdale, AZ 85259-4073 | 2010-11-08 |
| Street Address |
HIGHWAY 191 AND HOSPITAL ROAD |
| City | CHINLE |
| State | AZ |
| Zip Code | 86503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787810 | Michael Joseph Maccaro | Dentist | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2005-06-01 |
| 1639611692 | Christine Mcdannald | Psychologist | Highway 191 and Hospital Road, Chinle, AZ 86503-8000 | 2016-11-08 |
| 1497206072 | Lizzette Enriquez-lespron | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-10-19 |
| 1043761620 | Ruben Rodriquez Lespron | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-10-19 |
| 1881047835 | Michael Mcconnell | Psychologist | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-07-14 |
| 1932564929 | Alison Starling | Midwife | Highway 191 and Hospital Road, Chinle, AZ 86503-8000 | 2015-12-18 |
| 1114301421 | Mcqueen Suen | Podiatrist | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2015-07-16 |
| 1295153773 | Elizabeth Quinn Ziatyk | Internal Medicine | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2014-04-02 |
| 1003233990 | Amanda Gelman | Internal Medicine | Highway 191 and Hospital Road, Chinle, AZ 86503-8000 | 2014-03-28 |
| 1780005355 | Sandra Mccabe | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503-8000 | 2013-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042461 | Jonathan Lam | Optometrist | Us 191 & Hospital Dr., Chinle, AZ 86503 | 2020-04-16 |
| 1154950004 | David Gibrael | Pharmacist | Us 191 Hospital Drive, Chinle, AZ 86503 | 2020-04-03 |
| 1366076739 | Calli Jo Swenson | Pharmacist | Us 191 & Hospital Drive, Chinle, AZ 86503 | 2020-02-25 |
| 1336770338 | Quan The Truong | Pharmacist | Us Hway 191 & Hospital Road, Po Drawer Ph, Chinle, AZ 86503 | 2020-01-29 |
| 1275172264 | Alexandra Guthart | Pharmacist | Us 191 and Hospital Dr, Chinle, AZ 86503 | 2019-12-23 |
| 1811530819 | Brian Spencer | Dentist | U.S. 191 and Hospital Drive, Chinle, AZ 86503 | 2019-10-22 |
| 1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
| 1871063628 | Zachary Holtkamp | Physical Therapist | Off Highway 191, Hospital Rd, Chinle, AZ 86503 | 2018-12-04 |
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| Find all providers in zip 86503 | ||||
| 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 |
|---|---|---|---|---|
| 1841774296 | Tanieca Marie Downing | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2018-09-21 |
| 1417430331 | Virginia Lois Woollens | Dietitian, Registered | Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 | 2018-09-07 |
| 1518414119 | Celena Robinson | Dietitian, Registered | Us Highway 191, Hospital Road, Chinle, AZ 86503 | 2016-09-01 |
| 1558702175 | Patricia A. Ellis | Dietitian, Registered | Az Highway 191 and Hospital Road, Chinle, AZ 86503 | 2013-07-11 |
| 1689622607 | Linda A Hall | Dietitian, Registered | Po Box Ph, Chinle, AZ 86503 | 2006-05-04 |
| 1043842255 | Howard August Hsieh | Dietitian, Registered | Po Drawer Ph, Chinle, AZ 86503 | 2020-02-05 |
| 1740753581 | Susan Robins-ndori | Dietitian, Registered | U.S. 191 & Hospital Drive, Chinle, AZ 86503 | 2019-01-04 |
| 1497206072 | Lizzette Enriquez-lespron | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-10-19 |
| 1043761620 | Ruben Rodriquez Lespron | Dietitian, Registered | Highway 191 and Hospital Road, Chinle, AZ 86503 | 2016-10-19 |
| 1659791143 | Alina Hall | Dietitian, Registered | Hwy 191 and Hospital Drive, Chinle, AZ 86503-3848 | 2014-04-23 |
| Find all providers in CHINLE | ||||
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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.