Active NPI
Jackie Anne Novak, RD
- Registered Dietitian
- Ellicott City, MD
National Provider Identifier
1912865809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86376275
- Practice address
- 8388 Court Ave Ste 202
Ellicott City, MD 21043-5203 - Phone
- (443) 355-7021
- NPI assigned
- Jan 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86376275 | Primary |
Addresses
Primary practice location
8388 Court Ave Ste 202
Ellicott City, MD 21043-5203
Mailing address
8388 Court Ave Ste 202
Ellicott City, MD 21043-5203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4560 Crain Hwy
Suite 10
White Plains, MD 20695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit With Food LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1912865809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8388 COURT AVE STE 202",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210435203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8388 COURT AVE STE 202",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210435203",
"telephone_number": "443-355-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "JACKIE",
"middle_name": "ANNE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86376275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.