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: July 19, 2026.

  • 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 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1215563689 Verify this NPI
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
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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.

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Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Registered Nurse
500 BERGEN AVE
BRONX, NY 10455
Licensed Practical Nurse
500 BERGEN AVE
BRONX, NY 10455
Social Worker
500 BERGEN AVE
BRONX, NY 10455
Counselor (Mental Health)
500 BERGEN AVE
BRONX, NY 10455
Social Worker (Clinical)
500 BERGEN AVE
BRONX, NY 10455
Nurse Practitioner (Pediatrics)
500 BERGEN AVE
BRONX, NY 10455
Social Worker (Clinical)
500 BERGEN AVE
BRONX, NY 10455
Counselor (Mental Health)
500 BERGEN AVE
BRONX, NY 10455
Nurse Practitioner (Pediatrics)
500 BERGEN AVE
BRONX, NY 10455
Counselor (Mental Health)
500 BERGEN AVE
BRONX, NY 10455
Social Worker
500 BERGEN AVE
BRONX, NY 10455
Counselor (Mental Health)
500 BERGEN AVE
BRONX, NY 10455
Social Worker
500 BERGEN AVE
BRONX, NY 10455
Student in an Organized Health Care Education/Training Program
500 BERGEN AVE
BRONX, NY 10455
Social Worker
500 BERGEN AVE
BRONX, NY 10455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215563689, enumerated as an "individual" on March 18, 2020.

The provider is located at 500 BERGEN AVE BRONX, NY 10455 and the phone number is (718) 401-5175.

Dietitian, Registered with taxonomy code 133V00000X.