JENNY LYNETTE HENDERSON (NPI# 1578085320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578085320 |
| Entity Type | Individual |
| Full Name | JENNY LYNETTE HENDERSON |
| Credential | RD |
| Practice Address |
150 W 100 N Vernal UT 84078-2036 |
| Mailing Address |
33 Park Cir Vernal UT 84078-4805 |
| Practice Telephone | 4357816874 |
| Practice Fax Number | 4357816886 |
| Mailing Telephone | 4358285414 |
| Mailing Fax Number | 4357816886 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 10877 | UT | Dietary & Nutritional Service Providers |
| Street Address |
150 W 100 N |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518062066 | Ashley Regional Medical Ctr Ekg Group | General Acute Care Hospital | 150 W 100 N, Vernal, UT 84078-1907 | 2006-09-13 |
| 1548874969 | Bruce A Piispanen | Occupational Therapist | 150 W 100 N, Vernal, UT 84078-2036 | 2020-09-02 |
| 1518591585 | Kara Lee Page Young | Speech-Language Pathologist | 150 W 100 N, Vernal, UT 84078-2036 | 2020-02-27 |
| 1770131591 | Sarah Elizabeth Olsen | Speech-Language Pathologist | 150 W 100 N, Vernal, UT 84078-2036 | 2019-08-27 |
| 1710533369 | Linda Mcclellan | Dietitian, Registered | 150 W 100 N, Vernal, UT 84078-2036 | 2019-08-09 |
| 1467929232 | Justin Aaron Benson | Speech-Language Pathologist | 150 W 100 N, Vernal, UT 84078-2036 | 2018-10-30 |
| 1164937645 | Ashley Valley Physician Practice LLC | Obstetrics & Gynecology | 150 W 100 N, Vernal, UT 84078-2036 | 2017-12-06 |
| 1538512066 | Russell J Erickson | Physical Therapist | 150 W 100 N, Vernal, UT 84078-2036 | 2016-07-20 |
| 1306299839 | Justin R Watkins | Physical Therapist | 150 W 100 N, Vernal, UT 84078-2036 | 2016-07-20 |
| 1275889560 | Benjamin J Veltri Md Pllc | Surgery | 150 W 100 N, Suite S102, Vernal, UT 84078-2036 | 2012-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| 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 |
|---|---|---|---|---|
| 1710533369 | Linda Mcclellan | Dietitian, Registered | 150 W 100 N, Vernal, UT 84078-2036 | 2019-08-09 |
| 1063517530 | Joyce F Buhler | Dietitian, Registered | 151 W 200 N, Vernal, UT 84078-1907 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181943 | Rachel Fantine Chaffetz | Dietitian, Registered | 2984 N Hill Field Rd Ste A1-a, Layton, UT 84041-1306 | 2020-10-11 |
| 1295342426 | Claire Pomorski | Dietitian, Registered | 996 S 200 E Apt 108, Salt Lake City, UT 84111-4253 | 2020-10-01 |
| 1558978973 | Food for Hart, LLC | Dietitian, Registered | 886 S Warm Springs Cir, Kaysville, UT 84037-3728 | 2020-09-29 |
| 1366058406 | Natalie Gundersen | Dietitian, Registered | 1036 Oldham Dr, North Salt Lake, UT 84054-6009 | 2020-09-22 |
| 1144835513 | Bethany H Tait | Dietitian, Registered | 482 S 810 W Apt 107, Pleasant Grove, UT 84062-2378 | 2020-09-13 |
| 1003421520 | Lauran Saunders | Dietitian, Registered | 4667 S Highway 66, Morgan, UT 84050-9573 | 2020-09-11 |
| 1518570118 | Stephanie P Bergen | Dietitian, Registered | 1132 E Bryan Ave Apt A, Salt Lake City, UT 84105-2508 | 2020-08-25 |
| 1659981678 | Kirsten Tara Marquis Reichner | Dietitian, Registered | 322 E 680 N, Lindon, UT 84042-1417 | 2020-08-04 |
| 1689283574 | Kassandra Brandley | Dietitian, Registered | 2485 N 450 W, Harrisville, UT 84414-7209 | 2020-07-27 |
| 1578172581 | Keshele Elizabeth Stevens | Dietitian, Registered | 461 S Stirling Dr, Fruit Heights, UT 84037-2325 | 2020-07-26 |
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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.