MICHELLE JACKSON MS, RD, CDN
NPI 1215563689
Dietitian, Registered in Bronx, NY

NPI Status: Active since March 18, 2020

Contact Information

500 BERGEN AVE
BRONX, NY
ZIP 10455
Phone: (718) 401-5175

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Secondary Locations
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Dietitian, Registered

About MICHELLE JACKSON

This page provides the complete NPI Profile along with additional information for Michelle Jackson, a provider established in Bronx, New York with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1215563689 assigned on March 2020. The practitioner's primary taxonomy code is 133V00000X with license number 003365-01 (NY). The provider is registered as an individual and her NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI: 1215563689
Provider Name: MICHELLE JACKSON MS, RD, CDN
Gender: Female
Entity Type: Individual
Location Address: 500 BERGEN AVE BRONX, NY 10455
Location Phone: (718) 401-5175
Mailing Address: 207 MELBOURNE AVE MAMARONECK, NY 10543
Mailing Phone: (914) 777-1809
Is Sole Proprietor?: Yes
Enumeration Date: 03-18-2020
Last Update Date: 03-18-2020
Code Navigator

Location Map

Secondary Locations

565 Morris Ave
Bronx, NY 10451
(929) 360-0906

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dietitian, Registered
Taxonomy Code: 133V00000X
Type: Dietary & Nutritional Service Providers
License No.: 003365-01
License State: NY
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	1	5	5	6	3	6	8	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	10	6	6	6	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 0 + 6 + 6 + 6 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1215563689 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.