What is Kelsey Jack's NPI number?

Kelsey Jack's National Provider Identifier (NPI) is 1063089555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelsey Jack's specialty?

Kelsey Jack is listed in the NPPES registry with a primary specialty of Nutrition Education Nutritionist (Dietary & Nutritional Service Providers).

Where is Kelsey Jack located?

Kelsey Jack's practice location on file with NPPES is 8507 Wild Trce, Garden Ridge, TX 78266-2219.

What is Kelsey Jack's phone number?

The practice phone number listed in the NPPES registry for Kelsey Jack is (210) 854-1363.

Is Kelsey Jack's NPI active?

Yes — Kelsey Jack's NPI (1063089555) is active in the NPPES registry as of the last update on 2021-06-04.

IndividualActive

Kelsey Jack, NTP

NPI 1063089555 · Nutrition Education Nutritionist · Garden Ridge, TX

Kelsey Jack, NTP is a Nutrition Education Nutritionist provider in Garden Ridge, TX (NPI 1063089555).

Provider details

NPI number: 1063089555
Entity type: Individual
Primary specialty: Nutrition Education NutritionistDietary & Nutritional Service Providers
Credential: NTP
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Nutrition Education NutritionistPrimary133NN1002X
Dietary & Nutritional Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

8507 Wild Trce

Garden Ridge, TX 78266-2219

Phone: (210) 854-1363

Street-level locationGet directions

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Mailing address