Jaclyn Marie Midland, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86103325 Issued in CA

Practice address

12665 Camino Mira del Mar Unit 214
San Diego, CA 92130-2570

Phone

(760) 803-9279

NPI assigned

Sep 16, 2021

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

Other names 1

• Jackie Midland Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1558031039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 CAMINO MIRA DEL MAR UNIT 214",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302570",
            "telephone_number": "760-803-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 CAMINO MIRA DEL MAR UNIT 214",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302570",
            "telephone_number": "760-803-9279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Boardwalk Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920782600",
            "country_code": "US",
            "telephone_number": "760-803-9279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDLAND",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86103325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "MIDLAND",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael L Middleton, CRNA
• Michael S Middleton, M.D.
• Payton Midgette
• Cara Anne Iliff Midgley, MFT
• Ji Eun Midlam, LCSW
• Naomi R Midura, LMFT
• Midway Chiropractic
• Midway Optometry
• Samantha Midwood
• Alexa Kay Mier, MD

• Registered Dietitian in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.