Jennifer Renee Davis, RD,CD, LD, CDCES
NPI 1861787806ActiveIndividual· Dietitian, Registered· Maple Grove, MN
Dietitian, Registered (RD,CD, LD, CDCES) in Maple Grove, Minnesota, licensed in MN and WI, with an NPI issued in June 2011. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1861787806 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD,CD, LD, CDCES |
| Sole proprietor | Yes |
| NPI issued | Jun 17, 2011 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 5996 | MN |
| Dietitian, Registered | 133V00000X | 1897 | WI |
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 (MN) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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