JENNA P COPE (NPI# 1407375587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407375587 |
| Entity Type | Individual |
| Full Name | JENNA P COPE |
| Other Name | JENNA P TALLAKSEN |
| Credential | MPH, RD, LD |
| Practice Address |
Hwy 491 North P.o. Box 160 Shiprock NM 87420 |
| Practice Telephone | 5053686001 |
| Mailing Telephone | 5053686001 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-1148 | NM | Dietary & Nutritional Service Providers |
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
LD-1148 | NM | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699066852 | Jenna Marie Cope | Specialist | 5990 Venture Park Dr, Kalamazoo, MI 49009-1858 | 2011-04-22 |
| Street Address |
HWY 491 NORTH P.O. BOX 160 |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609099290 | Jennifer Michelle Manning | Occupational Therapist | Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 | 2007-04-11 |
| 1598387458 | Kenneth Wilson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2020-05-14 |
| 1689224073 | Margo Ilima Santiago | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2019-09-17 |
| 1225501596 | Ji Kim | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2019-01-09 |
| 1811462195 | Danielle Irene Hewey | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2018-10-12 |
| 1538642202 | Sylvia Park | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2018-09-10 |
| 1396264099 | Julia Ann Olson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2017-09-13 |
| 1013469642 | Erin Raley Wilson | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2016-10-31 |
| 1457807216 | Joseph Farar | Dietitian, Registered | Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420-0160 | 2016-08-31 |
| 1104278894 | Shannon Lee | Optometrist | Hwy 491 North, Northern Navajo Medical Center Eye Clinic, Shiprock, NM 87420 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| 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 |
|---|---|---|---|---|
| 1457807216 | Joseph Farar | Dietitian, Registered | Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420-0160 | 2016-08-31 |
| 1255700399 | Kerrianne Ashley | Dietitian, Registered | Us Hwy 491 North, Shiprock, NM 87420 | 2015-09-18 |
| 1073892865 | Brenda Lynn Riojas | Dietitian, Registered | Us Hwy 491 North, Shiprock, NM 87420 | 2011-08-10 |
| 1851455273 | Kari Rose Wato | Dietitian, Registered | Us Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 | 2006-12-20 |
| 1780777185 | Joann Lameman | Dietitian, Registered | Us Hwy 491 North, Shiprock, NM 87420 | 2006-09-30 |
| 1174553515 | Lawrence P Forman IIi | Dietitian, Registered | Us Highway 491 North, Shiprock, NM 87420-0160 | 2006-07-03 |
| 1619954344 | Beverly Crawford | Dietitian, Registered | Us Hwy 491 N, Shiprock, NM 87420 | 2005-12-23 |
| 1215928890 | Holli M Scott | Dietitian, Registered | Us Hwy 491 N, Shiprock, NM 87420 | 2005-11-02 |
| 1730170317 | Susan R Jones | Dietitian, Registered | Us Hwy 491 North, Shiprock, NM 87420 | 2005-11-02 |
| 1639160237 | Miranda Sw Yang-oshida | Dietitian, Registered | Us Hwy 491 N, Shiprock, NM 87420 | 2005-11-02 |
| Find all providers in SHIPROCK | ||||
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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.