Individual provider Active NPI

Jackie Vega, MS, RDN, LDN

  • Registered Dietitian
  • West Palm Beach, FL
National Provider Identifier
1164869491
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND8689 Issued in FL
Practice address
1691 Forum PL
Suite B #321
West Palm Beach, FL 33401-2336
Phone
(407) 353-6929
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD007550 GA
Registered Dietitian 133V00000X 164.012066 IL
Registered Dietitian 133V00000X 5653 TN
Registered Dietitian 133V00000X ND8689 FL Primary
Registered Dietitian 133V00000X

Addresses

Primary practice location

1691 Forum PL
Suite B #321
West Palm Beach, FL 33401-2336

Mailing address

1691 Forum PL Ste B
West Palm Beach, FL 33401-2336
Phone (407) 353-6929

Other practice location 1

1607 Westgate Cir Ste 200
Brentwood, TN 37027-8077
Phone (615) 376-8195

Other practice location 2

109 Del Rio Pike
Franklin, TN 37064-2577
Phone (615) 435-3854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520000146 TN Practitioner - Registered Dietitian Or Nutrition Professional 9931538592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8077
Phone (615) 376-8195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND8689FLMDRegistered Dietitian
LD007550GAMDRegistered Dietitian
164.012066ILMDRegistered Dietitian
5653TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1164869491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 FORUM PL STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012336",
            "telephone_number": "407-353-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 FORUM PL",
            "address_2": "SUITE B #321",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012336",
            "telephone_number": "407-353-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 Westgate Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370278077",
            "country_code": "US",
            "telephone_number": "615-376-8195",
            "fax_number": "833-464-2712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Del Rio Pike",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370642577",
            "country_code": "US",
            "telephone_number": "615-435-3854",
            "fax_number": "615-376-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "JACKIE",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD007550",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.012066",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "5653",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8689",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.