Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MACIE ALICE DIECKMAN RDN
NPI 1336054055
Dietitian, Registered in Jacksonville, FL

Active since August 17, 2026
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 22, 2026, Sep 16, 2026, Aug 17, 2026 (3 updates tracked since 2026).

About Macie Alice Dieckman Rdn NPPES

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

MACIE ALICE DIECKMAN RDN (NPI 1336054055) is an individual dietitian, registered in Jacksonville, Florida, licensed in Florida (ND15435) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1336054055
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMACIE ALICE DIECKMANCredential: RDN
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (905) 953-2000
Sole ProprietorNo
Enumeration DateAugust 17, 2026
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1336054055 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 FL · ND15435
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.
4500 SAN PABLO RD S, Jacksonville, FL 32224

Other Providers at the Same Location NPPES 20

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

Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

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 Macie Dieckman's NPI number?

The NPI number for Macie Dieckman is 1336054055. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Macie Dieckman located?

Macie Dieckman practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Macie Dieckman'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 Macie Dieckman was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.