DR. JENNIE LAUREN BUTLER PHD, RDN, LDN
NPI 1619458080
Dietitian, Registered in Jacksonville, FL

Q: What is Jennie Butler's NPI number?

The NPI number for Jennie Butler is 1619458080. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Q: What is Jennie Butler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennie Butler was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since August 23, 2018

1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216(919) 951-4345 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2021, Aug 23, 2018 (2 updates tracked since 2018).

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About Dr. Jennie Lauren Butler Phd, Rdn, Ldn NPPES

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

DR. JENNIE LAUREN BUTLER PHD, RDN, LDN (NPI 1619458080) is an individual dietitian, registered in Jacksonville, Florida, licensed in Florida (8749) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1619458080

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameDR. JENNIE LAUREN BUTLERCredential: PHD, RDN, LDN

Location Address1900 CORPORATE SQUARE BLVDJacksonville, FL 32216-1941

Mailing Address78 W 11th StAtlantic Beach, FL 32233-3461 · (919) 951-4345

Phone(919) 951-4345

Sole ProprietorNo

Enumeration DateAugust 23, 2018

Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration

NPPES CertifiedJuly 22, 2021

✔ NPI 1619458080 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 FL · 8749

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.

1900 CORPORATE SQUARE BLVD, Jacksonville, FL 32216

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Other Providers at the Same Location NPPES 19

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

MRS. MARISSA P GARCIA MSH, R.D

Dietitian, Registered