Jaclyn Rachel Weiner, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

012380 Issued in NY

Practice address

27 Barker Ave Apt 702
White Plains, NY 10601-1563

Phone

(617) 991-6986

NPI assigned

Jun 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1255226288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BARKER AVE APT 702",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011563",
            "telephone_number": "617-991-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BARKER AVE APT 702",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011563",
            "telephone_number": "617-991-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "JACLYN",
        "middle_name": "RACHEL",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "012380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weill Medical College of Cornell Univ. (Sleep Wake Disorder Center)
• Weill Medical College of Cornell University (White Plains Hospital)
• Weill Medical College of Cornell University
• Ortal Weinberg
• Brett T Weiner, MD
• Linda B. Weiner, PH.D.
• Erica Aime Weinfeld, O.D.
• Adina Weinreb
• Dana A Weinrib
• Elizabeth Weinshel, A.P.R.N.

• Registered Dietitian in White Plains, NY
• Providers in White Plains, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.