JENNIFER NEAL TEBB RDN, LDN
NPI 1356740773
Dietitian, Registered in Durham, NC

Active since August 21, 2014
3612 SHANNON RD STE 103, DURHAM, NC 27707(919) 870-1001(919) 516-0673 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 7, 2025, Mar 1, 2023 (2 updates tracked since 2023).

About Jennifer Neal Tebb Rdn, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER NEAL TEBB RDN, LDN (NPI 1356740773) is an individual dietitian, registered in Durham, North Carolina, licensed in North Carolina (L004147) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1356740773
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNIFER NEAL TEBBCredential: RDN, LDN
Location Address3612 SHANNON RD STE 103Durham, NC 27707-6333
Mailing Address4705 University Dr Bldg 700Durham, NC 27707-3489 · (919) 237-1337 · Fax (866) 538-4716
Fax(919) 516-0673
Sole ProprietorNo
Enumeration DateAugust 21, 2014
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1356740773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L004147
Definition
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.
3612 SHANNON RD STE 103, Durham, NC 27707

Other Names 1

Other Name (5)Nealie Tebb Rdn, Ldn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Neal Tebb Rdn, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Tebb reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Dietitian, Registered
3612 SHANNON RD STE 103
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
Clinic/Center
400 ATTAIN ST STE 202
Fuquay Varina, NC 27526
  • Reassigned Medicare billing, North Carolina enrollment
  • 217 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietetic Technician, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Tebb's NPI number?

The NPI number for Jennifer Tebb is 1356740773. It was assigned to this individual provider in the NPPES registry on August 21, 2014. The provider is also known as Nealie Tebb Rdn, Ldn.

Where is Jennifer Tebb located?

Jennifer Tebb practices at 3612 Shannon Rd Ste 103, Durham, NC 27707. The listed phone number is (919) 870-1001.

What is Jennifer Tebb's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jennifer Tebb enrolled in Medicare?

Yes. Jennifer Tebb is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Tebb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Tebb reassigns Medicare benefits to 2 organizations: Healthy Diets, LLC (Durham, NC) and Avance Care, PA (Fuquay Varina, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Tebb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Tebb was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.