LAUREN JACKEY RDN
NPI 1063129542
Dietitian, Registered in Herndon, VA

Q: What is Lauren Jackey's NPI number?

The NPI number for Lauren Jackey is 1063129542. It was assigned to this individual provider in the NPPES registry on November 3, 2022.

Q: What is Lauren Jackey's specialty?

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

Q: Is Lauren Jackey enrolled in Medicare?

No. Lauren Jackey has opted out of Medicare through April 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lauren Jackey was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 03, 2022Opted out of Medicare · through Apr 19, 2028

1031 STERLING RD STE 203, HERNDON, VA 20170(703) 466-5150 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lauren Jackey Rdn NPPES

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

LAUREN JACKEY RDN (NPI 1063129542) is an individual dietitian, registered in Herndon, Virginia, licensed in Maryland (DX5814) and active in the NPI registry since November 2022. She has opted out of Medicare through April 19, 2028.

NPPES Registry Identity

NPI1063129542

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameLAUREN JACKEYCredential: RDN

Location Address1031 STERLING RD STE 203Herndon, VA 20170-3873

Mailing Address640 Nathan Pl NeLeesburg, VA 20176-2349

Phone(703) 466-5150

Sole ProprietorYes

Enumeration DateNovember 3, 2022

NPPES CertifiedNovember 3, 2022

✔ NPI 1063129542 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 MD · DX5814

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.

1031 STERLING RD STE 203, Herndon, VA 20170

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Lauren Jackey Rdn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 19, 2024 through April 19, 2028.

Opt-Out Effective DateApril 19, 2024

Opt-Out In Effect ThroughApril 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

HEIDI DIANE LAPHAM

Counselor