Jacquelyn Hackett, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86100274 Issued in CA

Practice address

2450 Colorado Ave Ste 100E
Santa Monica, CA 90404-5535

Phone

(626) 353-7606

NPI assigned

Mar 17, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Hackett Health, LLC

  • Registered Dietitian
  • Santa Monica, CA
  • NPI 1093514838

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1598413551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 COLORADO AVE STE 100E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904045535",
            "telephone_number": "626-353-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 COLORADO AVE STE 100E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904045535",
            "telephone_number": "626-353-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "JACQUELYN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86100274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Karin Haas, DPT
• Kristin Laurel Haase, M.A.
• Richard Haber, DDS
• Paul B. Haberman, M.D.
• Hackett Health, LLC
• Sally Jo Hackman, MFT
• Jennifer Hackney, LMFT
• Melkon Hacobian, M.D.
• Miad Hadaegh
• Jennifer Haddock

• Registered Dietitian in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.