Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Renee Davis, RD, CD, LD, CDCES

Individual provider Registered Dietitian · NPI 1861787806

Jennifer Renee Davis, RD, CD, LD, CDCES is a Registered Dietitian OR Nutrition Professional in Maple Grove, Minnesota. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Minnesota and Wisconsin.

Years since qualifying
26
Licensed in
MN, WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

9825 Hospital Dr
Maple Grove, MN 55369-4479
Phone: (763) 581-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 5996 (MN)
Registered Dietitian Taxonomy 133V00000X · Licence 1897 (WI)

Record details

NPI number1861787806
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CD , LD , CDCES
Sole proprietorYes
NPI enumeratedJune 17, 2011
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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