Jaclyn Powell Nutrition, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JACLYN POWELL NUTRITION, LLC

Practice address

160 Spring Meadow LN
Keswick, VA 22947-3251

Phone

(720) 341-5598

NPI assigned

Oct 7, 2022

Last updated

Oct 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaclyn Powell, MS, RD, CEDRD-SNPI 1699223941

Title

Owner/Rd

Phone

(720) 341-5598

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclyn Powell, MS RD

  • Registered Dietitian
  • Spokane, WA
  • NPI 1699223941
  NPD Authorized official

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1366167702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SPRING MEADOW LN",
            "city": "KESWICK",
            "state": "VA",
            "postal_code": "229473251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SPRING MEADOW LN",
            "city": "KESWICK",
            "state": "VA",
            "postal_code": "229473251",
            "telephone_number": "720-341-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN POWELL NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OWNER/RD",
        "authorized_official_telephone_number": "720-341-5598",
        "authorized_official_credential": "MS, RD, CEDRD-S"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699223941",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.gethealthie.com/",
            "affiliation": "N",
            "endpointDescription": "Online EMR Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "160 Spring Meadow Ln",
            "city": "Keswick",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229473251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey Fassieux
• Jacob Edward Gansneder VIII, MASSAGE THERAPIST
• Alexys Gray, OTD, OTR/L
• Benjamin Holstege, MD
• Hospital Interventions
• JH Farrell Counseling
• Susan Beth Jordan, MA
• Ihsan Shaun Karaca
• Alice H. Lakes, R.PH.
• Richard B. Lakes, R.PH.

• Clinic/Center in Keswick, VA
• Providers in Keswick, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.