Jennifer Nickell, MS, RD, LD
NPI 1164832713 · Pediatric Nutrition Registered Dietitian · Lake Oswego, OR
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Nickell, MS, RD, LD is a Pediatric Nutrition Registered Dietitian provider in Lake Oswego, OR (NPI 1164832713).
Provider details
- NPI number
- 1164832713
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- LD-D-10159758 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2014-05-05
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Jennifer Nickell's NPI number?
- Jennifer Nickell's National Provider Identifier (NPI) is 1164832713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Nickell's specialty?
- Jennifer Nickell is listed in the NPPES registry with a primary specialty of Pediatric Nutrition Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jennifer Nickell located?
- Jennifer Nickell's practice location on file with NPPES is 4948 Sw Meadow Ave, Lake Oswego, OR 97035-2216.
- What is Jennifer Nickell's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Nickell is (503) 744-2061.
- Does Jennifer Nickell accept Medicare?
- Jennifer Nickell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Nickell's NPI active?
- Yes — Jennifer Nickell's NPI (1164832713) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.