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

Active since March 18, 2020
500 BERGEN AVE, BRONX, NY 10455(718) 401-5175 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Jackson Ms, Rd, Cdn NPPES

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

MICHELLE JACKSON MS, RD, CDN (NPI 1215563689) is an individual dietitian, registered in Bronx, New York, licensed in New York (003365-01) and active in the NPI registry since March 2020. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1215563689
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMICHELLE JACKSONCredential: MS, RD, CDN
Location Address500 BERGEN AVEBronx, NY 10455-4048
Mailing Address207 Melbourne AveMamaroneck, NY 10543-2726 · (914) 777-1809
Phone(718) 401-5175
Sole ProprietorYes
Enumeration DateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
✔ NPI 1215563689 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 NY · 003365-01
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.
500 BERGEN AVE, Bronx, NY 10455
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Secondary Practice Location 1

Location 1565 Morris AveBronx, NY 10451-4738 · Phone (929) 360-0906

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

JESSICA RIBERA LMSW
Social Worker
500 BERGEN AVE
BRONX, NY 10455
Bronx County (718) 401-5179
MR. ANTONIO CAPELLAN LMSW
Social Worker (Clinical)
500 BERGEN AVE
BRONX, NY 10455
Bronx County (917) 526-3753
FLORISSELL ROSALES CRESPIN
Registered Nurse
500 BERGEN AVE
BRONX, NY 10455
Bronx County (760) 900-5171
RUBY CHERESNOWSKY LMSW
Social Worker
500 BERGEN AVE
BRONX, NY 10455
Bronx County (212) 437-3500
VIVIAN CABRERA
Social Worker
500 BERGEN AVE
BRONX, NY 10455
Bronx County (718) 401-5140
CAITLIN ROSE PLAUT LCSW
Social Worker (Clinical)
500 BERGEN AVE
BRONX, NY 10455
Bronx County (718) 401-5145
VICTORIA MCLEOD
Student in an Organized Health Care Education/Training Program
500 BERGEN AVE
BRONX, NY 10455
Bronx County (718) 794-8442
JAMILA M INOCENTE PAZ
Counselor (Mental Health)
500 BERGEN AVE
BRONX, NY 10455
Bronx County (917) 952-1791

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 Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1215563689. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Where is Michelle Jackson located?

Michelle Jackson practices at 500 Bergen Ave, Bronx, NY 10455. The listed phone number is (718) 401-5175.

What is Michelle Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Michelle Jackson was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.