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Active NPI 1780073320 Individual Practitioner Female Practitioner

Alicia Jennerjohn

Dietitian, Registered • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Alicia Jennerjohn is a registered healthcare professional specializing in Dietitian, Registered in Appleton, WI. Practice services are available at 3416 N ASSOCIATION DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3416 N Association Dr

Appleton, WI 549141479

Telephone 9202431792
Associated Practice Facility / Clinic
🏢 Saris Counseling Facility NPI 1558736884

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
48 Specialists

Practicing in Appleton, WI (1473 Statewide)

Telehealth Adoption Rate
2.1% 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 WI 1087448

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

9 Associated Practitioners
Mercade Pazdra , RD

Dietitian, Registered

NPI 1205483831

Registered Dietitian

Ashley O'brien , LPC

Counselor - Professional

NPI 1245812395

Licensed Professional Counselor

Brynne Wolfe , LPC-IT

Counselor - Professional

NPI 1316529548

LPCIT

Sara Wiebel

Dietitian, Registered

NPI 1376912402
Nichole Baumgartner , LPC-IT

Counselor - Mental Health

NPI 1386186914

LPCIT

Shawna Krienitz , LPC, ATR, CEDS

Counselor - Mental Health

NPI 1487015152

Licensed Professional Counselor, ATR, CEDS

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2015

Registered at 3416 N ASSOCIATION DR, APPLETON, WI 549141479 (Tel: 9202431792)

📍
Updated Business Mailing Address January 20, 2015

Registered at 3416 N ASSOCIATION DR, APPLETON, WI 549141479

👤
Provider Name / Credentials Updated January 20, 2015

Recorded as ALICIA JENNERJOHN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2015

Dietitian, Registered (License #1087448 in WI)

🟢
Initial NPI Registration & Enumeration January 20, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780073320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2015
Last Update: January 20, 2015
Sole Proprietor: No

Mailing Address

3416 N Association Dr

Appleton, WI 549141479

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.