SHANTA DAYJAH JACKSON RDN
NPI 1013758374
Dietitian, Registered in Mechanicsville, VA

Active since June 03, 2024Accepts Medicare Assignment
8266 ATLEE RD STE 215, MECHANICSVILLE, VA 23116(804) 248-3878 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2024, Jun 3, 2024 (2 updates tracked since 2024).

About Shanta Dayjah Jackson Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANTA DAYJAH JACKSON RDN (NPI 1013758374) is an individual dietitian, registered in Mechanicsville, Virginia, licensed in Virginia (86289730) and active in the NPI registry since June 2024. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1013758374
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHANTA DAYJAH JACKSONCredential: RDN
Location Address8266 ATLEE RD STE 215Mechanicsville, VA 23116-1805
Mailing Address8266 Atlee Rd Ste 215Mechanicsville, VA 23116-1805
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 3, 2024
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1013758374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in VA · 86289730
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
8266 ATLEE RD STE 215, Mechanicsville, VA 23116

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shanta Dayjah Jackson Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951840107
PECOS Enrollment IDI20240831000269

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
8266 ATLEE RD STE 215
MECHANICSVILLE, VA 23116
Clinical Nurse Specialist (Adult Health)
8266 ATLEE RD STE 215
MECHANICSVILLE, VA 23116
Obstetrics & Gynecology (Gynecology)
8266 ATLEE RD STE 215
MECHANICSVILLE, VA 23116
Clinical Nurse Specialist
8266 ATLEE RD STE 215
MECHANICSVILLE, VA 23116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanta Jackson's NPI number?

The NPI number for Shanta Jackson is 1013758374. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Shanta Jackson located?

Shanta Jackson practices at 8266 Atlee Rd Ste 215, Mechanicsville, VA 23116. The listed phone number is (804) 248-3878.

What is Shanta Jackson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Shanta Jackson enrolled in Medicare?

Yes. Shanta Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shanta Jackson was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.