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JENNA RAE CARLSON RDMN
NPI 1902356785
Dietitian, Registered in Chinle, AZ

Active since October 05, 2016
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503(928) 674-7166(928) 674-7705 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jenna Rae Carlson Rdmn NPPES

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

JENNA RAE CARLSON RDMN (NPI 1902356785) is an individual dietitian, registered in Chinle, Arizona and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1902356785
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNA RAE CARLSONCredential: RDMN
Location AddressHIGHWAY 191 AND HOSPITAL ROADChinle, AZ 86503
Mailing AddressPo Box PhChinle, AZ 86503-8000 · (928) 674-7166
Phone(928) 674-7166
Fax(928) 674-7705
Sole ProprietorNo
Enumeration DateOctober 5, 2016
✔ NPI 1902356785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
HIGHWAY 191 AND HOSPITAL ROAD, Chinle, AZ 86503
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Other Identifiers 1

Other86027129Cdr

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Rae Carlson Rdmn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jenna Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kayenta Alternative Rural Hospital
48 mi
General Acute Care Hospital
US HIGHWAY 160 BLDING 2000
Dennehotso, AZ 86535
  • Reassigned Medicare billing, Texas enrollment
  • 215 clinicians in this Medicare group
NPI 1821167297 (928) 697-4000

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 20

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

ALICE A. HOPPER DPT
Physical Therapist
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE COMPREHENSIVE HEALTH CARE FACILITY
CHINLE, AZ 86503
Apache County (928) 674-7552
AMANDA GELMAN MD
Internal Medicine
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7166
ANNE K WHITIS P.T.
Physical Therapist
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE COMPREHENSIVE HEALTH CARE FACILITY
CHINLE, AZ 86503
Apache County (928) 674-7166
KRISTIN MARIE YEOMAN MD
Internal Medicine
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7166
DR. WENDY JW FERRELL OTD
Occupational Therapist
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7166
MICHAEL LEE FROM MD
Pediatrics
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7001
MCQUEEN SUEN DPM
Podiatrist
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7166
JACQUELINE SELIG ANP
Nurse Practitioner (Adult Health)
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Apache County (928) 674-7166

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 Jenna Carlson's NPI number?

The NPI number for Jenna Carlson is 1902356785. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Jenna Carlson located?

Jenna Carlson practices at Highway 191 And Hospital Road, Chinle, AZ 86503. The listed phone number is (928) 674-7166.

What is Jenna Carlson's specialty?

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

Is Jenna Carlson enrolled in Medicare?

Yes. Jenna Carlson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenna Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Carlson reassigns Medicare benefits to Kayenta Alternative Rural Hospital (Dennehotso, AZ). The 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 Jenna Carlson'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 Jenna Carlson was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.