Wellformed AI

NPI 1295624922 · live from the CMS NPI Registry

Jennifer A Brennan, RD, LD

Dietitian, Registered in Lees Summit, MO. National Provider Identifier 1295624922, active.

NPI record

NPI1295624922 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location2508 Sw Kenwill Ct, Lees Summit, MO 64082
Practice phone816-729-6754
EnumeratedJune 30, 2025
Last updatedMarch 8, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X3090 (KS)
Dietitian, Registered133V00000X2025043357 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.