MICHELLE JACKSON MS, RD, CDN
NPI 1215563689
Dietitian, Registered in Bronx, NY
- 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
- 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.
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Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
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.