Gabbrielle Jackson, MS, CNS

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

2 Riesling Ter Unit 1
Concord, NH 03303-1063

Phone

(260) 417-7430

NPI assigned

Sep 1, 2022

Last updated

Sep 1, 2022By the provider in NPPES

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

Credentials

Certified Nurse Specialist, Master of Science

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1821718537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIESLING TER UNIT 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033031063",
            "telephone_number": "260-417-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RIESLING TER UNIT 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033031063",
            "telephone_number": "260-417-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7867 Hampton Forest Ln",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238321974",
            "country_code": "US",
            "telephone_number": "959-900-8855",
            "fax_number": "860-785-6590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "GABBRIELLE",
        "name_prefix": "Mrs.",
        "credential": "MS, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Physical Therapy & Wellness, LLC
• Cosmin D Ionescu, MD
• Ann E Isenberg, PHD
• Suzy A. Iverson, D.O.
• Diane Jane Jackson, OTR
• Latosha M Jackson, LICSW
• Thomas Lane Jackson, MD
• Sarah Caitlyn Jacoby, PA-C
• Beth Ann Jacques, AU.D., CCC-A
• Randal F Jacunski, MHS,LADC

• Nutrition Education Nutritionist in Concord, NH
• Providers in Concord, NH by specialty
• Nutrition Education Nutritionist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.