JENNA K ELLIS (NPI# 1639654726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639654726 |
| Entity Type | Individual |
| Full Name | JENNA K ELLIS |
| Credential | RDN |
| Practice Address |
5848 S Fashion Blvd Murray UT 84107-6157 |
| Mailing Address |
780 Independence Way North Salt Lake UT 84054-1624 |
| Practice Telephone | 8013144955 |
| Mailing Telephone | 2083398064 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 107303964901 | UT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194095406 | Jenna Lee Ellis | Counselor | 1082 Davol St, Fall River, MA 02720-1108 | 2012-01-03 |
| 1437470044 | Jenna Renee Ellis | Physical Therapist | 2970 University Pkwy Ste 105, Sarasota, FL 34243-2401 | 2010-06-17 |
| Street Address |
5848 S FASHION BLVD |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-6157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861402331 | Cathy J Gonzales | Nurse Practitioner | 5848 S Fashion Blvd, Murray, UT 84107-6121 | 2006-08-08 |
| 1528689023 | Laurie Evans | Specialist/Technologist | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2020-05-06 |
| 1891276291 | Ranae Michelle Gonzales | Nurse Practitioner | 5848 S Fashion Blvd, Murray, UT 84107-6170 | 2018-08-23 |
| 1619455359 | Mark White | Physician Assistant | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2018-08-03 |
| 1396262424 | Jane Kofford Ford | Nurse Practitioner | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2017-08-29 |
| 1760906572 | Claire Siekaniec | Dietitian, Registered | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2017-08-02 |
| 1336690775 | Anna N Reid | Nurse Practitioner | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2016-10-20 |
| 1952754756 | Michelle Lee Duncan | Nurse Practitioner | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2016-07-16 |
| 1215327838 | Lori Cole | Dietitian, Registered | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2015-02-03 |
| 1629467055 | Ashley Hagensick | Dietitian, Registered | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2015-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| 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 |
|---|---|---|---|---|
| 1497222889 | Janae Decker | Dietitian, Registered | 5171 S Cottonwood St Ste 640, Murray, UT 84107-5704 | 2018-10-24 |
| 1568894707 | Joseph Brent Hagloch | Dietitian, Registered | 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 | 2013-07-30 |
| 1154464824 | Rebecca Wright | Dietitian, Registered | 716 Poplar St, Murray, KY 42071-2546 | 2007-02-14 |
| 1386256428 | Sarah Emily Boyt | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-19 |
| 1124532627 | Christian Nicole Shaw | Dietitian, Registered | 716 Poplar St, Murray, KY 42071-2546 | 2017-11-21 |
| 1306361464 | Karlee Elizabeth Adams | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2017-08-10 |
| 1760906572 | Claire Siekaniec | Dietitian, Registered | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2017-08-02 |
| 1215327838 | Lori Cole | Dietitian, Registered | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2015-02-03 |
| 1568852911 | Kelan Stanfill | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2015-01-23 |
| 1710376124 | Andrea Gael Young | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2015-01-22 |
| Find all providers in MURRAY | ||||
Please comment or provide details below to improve the information on JENNA K ELLIS.
| 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.