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

Mrs. Jennifer Roach

Individual provider Registered Dietitian · NPI 1972304616

Mrs. Jennifer Roach is a Registered Dietitian in Mount Shasta, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

408 Pine St
Mount Shasta, CA 96067-2126
Phone: (530) 926-7196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 819436 (CA)

Record details

NPI number1972304616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address408 Pine St, Mount Shasta, CA 96067-2126

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