AZZAIRIA JACKSON RD
NPI 1013775519
Dietitian, Registered in Saint Paul, MN

Active since March 08, 2024
2081 VILLAGE LN APT B5, SAINT PAUL, MN 55116(612) 735-1669 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Azzairia Jackson Rd NPPES

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

AZZAIRIA JACKSON RD (NPI 1013775519) is an individual dietitian, registered in Saint Paul, Minnesota, licensed in Minnesota (7808) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1013775519
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAZZAIRIA JACKSONCredential: RD
Location Address2081 VILLAGE LN APT B5Saint Paul, MN 55116-3847
Mailing Address2081 Village Ln Apt B5Saint Paul, MN 55116-3847 · (612) 735-1669
Sole ProprietorNo
Enumeration DateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
NPI 1013775519 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 MN · 7808
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.

2081 VILLAGE LN APT B5, Saint Paul, MN 55116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013775519, enumerated as an "individual" on March 08, 2024.

The provider is located at 2081 VILLAGE LN APT B5 SAINT PAUL, MN 55116 and the phone number is (612) 735-1669.

Dietitian, Registered with taxonomy code 133V00000X.