Beverly Ann Jackey, MS,RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

125 S Lynchburg St
Chestertown, MD 21620-1146

Phone

(410) 778-2167

NPI assigned

Jan 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1356849293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CECIL COUNTY EXTENSION OFFICE",
            "address_2": "200 CHESAPEAKE BLVD.",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921",
            "telephone_number": "410-996-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S LYNCHBURG ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201146",
            "telephone_number": "410-778-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKEY",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS,RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Hoon-Starr, AU.D.
• Carol Huser, M.D.
• Instinctive Wellness, LLC
• Integrace, Inc.
• Internal Medicine Associates LLC
• Keri N. Jacobs, MD
• Travis William Jaeger, DDS
• Imani Jefferies, RPH, PHARMD.
• Rudolph Edward Jenkins III, PA-C
• Chelsea Horrocks Jennings, LCSW-C

• Registered Dietitian in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.