IndividualActive
Jennifer Lane, MS, RDN
NPI 1124792957 · Registered Dietitian · Petaluma, CA
Jennifer Lane, MS, RDN is a Registered Dietitian provider in Petaluma, CA (NPI 1124792957).
Provider details
- NPI number
- 1124792957
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 984565 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
207 S Mcdowell Blvd # 1063
Petaluma, CA 94954-3505
Phone: (707) 338-2474
Fax: (707) 221-1688
Street-level locationGet directions
Mailing address
207 S Mcdowell Blvd # 1063
Petaluma, CA 94954-3505
Registry dates
- Enumerated
- 2021-08-04
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Frequently asked questions
- What is Jennifer Lane's NPI number?
- Jennifer Lane's National Provider Identifier (NPI) is 1124792957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Lane's specialty?
- Jennifer Lane is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jennifer Lane located?
- Jennifer Lane's practice location on file with NPPES is 207 S Mcdowell Blvd # 1063, Petaluma, CA 94954-3505.
- What is Jennifer Lane's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Lane is (707) 338-2474.
- Is Jennifer Lane's NPI active?
- Yes — Jennifer Lane's NPI (1124792957) is active in the NPPES registry as of the last update on 2024-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.