JENNA CROSS POLK (NPI# 1689076028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689076028 |
| Entity Type | Individual |
| Full Name | JENNA CROSS POLK |
| Other Name | JENNA REBECCA CROSS |
| Credential | RD, LD |
| Practice Address |
1857 Tucker Way Ste B Bowling Green KY 42104-6258 |
| Mailing Address |
Po Box 90010 Bowling Green KY 42102-9010 |
| Practice Telephone | 2707450942 |
| Practice Fax Number | 2707450683 |
| Mailing Telephone | 2707450942 |
| Mailing Fax Number | 2707450683 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 807619 | KY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538509013 | Jenna Polk | Behavioral Analyst | 60 E 12th St, Apt 8d, New York, NY 10003-5019 | 2013-06-28 |
| 1417239799 | Jenna Polk | Pharmacist | 3010 S Church St, Murfreesboro, TN 37127-6363 | 2011-09-13 |
| Street Address |
1857 TUCKER WAY STE B |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831112507 | Bowling Green Warren County Community Hospital Corporation | Dietitian, Registered | 1857 Tucker Way, Suite B, Bowling Green, KY 42104-6258 | 2006-07-25 |
| 1689232480 | John Austin Delpont | Dentist | 1857 Tucker Way, Bowling Green, KY 42104-6258 | 2019-06-05 |
| 1447638168 | Eli Jackson IIi Psc | Dentist | 1857 Tucker Way, Bowling Green, KY 42104-6258 | 2015-05-14 |
| 1730441221 | Devin T Hall | Dentist | 1857 Tucker Way, Bowling Green, KY 42104-6258 | 2012-06-12 |
| 1255591384 | Brad Austin Graham | Dentist | 1857 Tucker Way, Bowling Green, KY 40104 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1750894127 | Allison Marie Toth | Dietitian, Registered | 1857 Tucker Way Ste B, Bowling Green, KY 42104-6258 | 2017-11-08 |
| 1316493083 | Marisa Woodall | Dietitian, Registered | 1324 Chestnut St, Unit 2, Bowling Green, KY 42101-3467 | 2016-08-31 |
| 1275943409 | Tracey Valleroy | Dietitian, Registered | 146 Sylvan Cir, Bowling Green, KY 42101-8818 | 2014-04-28 |
| 1598095556 | Lisa Kristof Watterson | Dietitian, Registered | 218 Windmere Dr, Bowling Green, KY 42103-8764 | 2010-01-13 |
| 1497910582 | Megan Katherine Hannan Sankey | Dietitian, Registered | 615 2nd St Apt 5, Bowling Green, OH 43402-4078 | 2008-07-28 |
| 1831112507 | Bowling Green Warren County Community Hospital Corporation | Dietitian, Registered | 1857 Tucker Way, Suite B, Bowling Green, KY 42104-6258 | 2006-07-25 |
| 1568421527 | Nikki Lynn Anderson | Dietitian, Registered | 843 Fairview Ave, Suite B6, Bowling Green, KY 42101-4914 | 2006-03-20 |
| 1497730915 | Greta Ann Goodpasture Hopke | Dietitian, Registered | 19 N Main Cross St, Bowling Green, MO 63334-1643 | 2005-12-07 |
| 1073110169 | Bethany Crask | Dietitian, Registered | 1109 State St, Bowling Green, KY 42101-2648 | 2020-10-02 |
| 1285241166 | Bethany Michelle Meredith | Dietitian, Registered | 262 Natchez Trace Ave, Bowling Green, KY 42103-7995 | 2020-09-25 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.