Active NPI
Jackie Vega, MS, RDN, LDN
- Registered Dietitian
- West Palm Beach, FL
National Provider Identifier
1164869491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND8689
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND8689 | FL | MD | Registered Dietitian |
| LD007550 | GA | MD | Registered Dietitian |
| 164.012066 | IL | MD | Registered Dietitian |
| 5653 | TN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
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.