Jacqlyn Marie Gluck, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

4478 Issued in MN

Practice address

18562 Minobimaadizi Loop
Onamia, MN 56359-3001

Phone

(320) 290-9526

NPI assigned

Jan 15, 2021

Sex

Female

Sole proprietor

Yes

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.

• No Diet Dietitian, LLC

  • Registered Dietitian
  • Burlington, VT
  • NPI 1689141988
  Medicare reassignment Care Compare group NPD DIETITIAN, REGISTERED · VT

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

No Diet Dietitian LLC 17 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in VT

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2022.

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1497344295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18562 MINOBIMAADIZI LOOP",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18562 MINOBIMAADIZI LOOP",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593001",
            "telephone_number": "320-290-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "JACQLYN",
        "middle_name": "MARIE",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "4478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Anne Fligge, D.N.P. APRN-BC, CNP
• Sandra Lou Foust, HHA
• Ryan Michael Fox, MD
• Katherine S Glassford, M.A.C., PSY.D.
• Nash Redmond Gleason, PHYSICIAN ASSISTANT
• Sara Graff, RDH BS
• Sharon Kay Grassel, MPT
• Jennifer Franko Greer
• Donald V Gunderson, MD
• Monica Haglund, CADC 1

• All providers in Onamia, MN
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.

Verify at the official NPI Registry.