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Active NPI 1144422700 Individual Practitioner Female Practitioner

Katherine M Jennison , RD LDN

Dietitian, Registered • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Katherine Jennison, RD LDN is a registered healthcare professional specializing in Dietitian, Registered in St Augustine, FL. Practice services are available at 400 HEALTH PARK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Health Park Blvd

St Augustine, FL 320865784

Telephone 9048194404
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
22 Specialists

Practicing in St Augustine, FL (3492 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License FL ND5590

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Michelle Meis , RD

Dietitian, Registered

NPI 1043697014

Registered Dietitian

NPI 1114233764

Registered Dietitian

Betty Willis

Dietitian, Registered

NPI 1992182786

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location May 19, 2011

Registered at 400 HEALTH PARK BLVD, ST AUGUSTINE, FL 320865784 (Tel: 9048194404)

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Updated Business Mailing Address May 19, 2011

Registered at 87 PONTE VEDRA COLONY CIR, PONTE VEDRA BEACH, FL 320824710 (Tel: 9788077205)

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Provider Name / Credentials Updated May 19, 2011

Recorded as KATHERINE JENNISON, RD LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2011

Dietitian, Registered (License #ND5590 in FL)

🟢
Initial NPI Registration & Enumeration June 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1144422700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2007
Last Update: May 19, 2011
Sole Proprietor: Yes

Mailing Address

87 Ponte Vedra Colony Cir

Ponte Vedra Beach, FL 320824710

Phone: 9788077205

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.