Jennifer Wynne Bopp Dale, M.S., R.D.
NPI 1497177992ActiveIndividual· Dietitian, Registered· Mesa, AZ
Dietitian, Registered (M.S., R.D.) in Mesa, Arizona, licensed in AZ, with an NPI issued in January 2014. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1497177992 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., R.D. |
| Sole proprietor | Yes |
| NPI issued | Jan 17, 2014 |
| Last updated in NPPES | Jan 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 968353 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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All 100 registered dietitians in Mesa · All registered dietitians in Arizona