Lauren Nicole Jackson, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

71 Sherwood HTS
Wappingers Falls, NY 12590-3408

Phone

(845) 518-1646

NPI assigned

Nov 10, 2017

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

Credentials

Master of Science

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1447763529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SHERWOOD HTS",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903408",
            "telephone_number": "845-518-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SHERWOOD HTS",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903408",
            "telephone_number": "845-518-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail B Ingrao, NP
• Inner Compass NP in Psychiatry PLLC
• Arnold Nicholas Iovinella Jr.
• Kristi Lynn Irish Liebowitz, NP
• Carmen B. Jackson, FNP
• Jude A Jacob, NP
• Kirsten E Jacobson, MD
• Jai K Jalaj MD PC
• Jai K Jalaj, MD
• Hilda Jayawardena, M.D.

• Registered Dietitian in Wappingers Falls, NY
• Providers in Wappingers Falls, 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 Nov 10, 2017; 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.