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Michelle Jackson, MS, RD, CDN
NPI 1215563689 · Registered Dietitian · Bronx, NY
Michelle Jackson, MS, RD, CDN is a Registered Dietitian provider in Bronx, NY (NPI 1215563689).
Provider details
- NPI number
- 1215563689
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 003365-01 (NY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
500 Bergen Ave
Bronx, NY 10455-4048
Phone: (718) 401-5175
Street-level locationGet directions
Mailing address
207 Melbourne Ave
Mamaroneck, NY 10543-2726
Additional practice locations (1)
- 565 Morris AveBronx, NY 10451-4738Phone: (929) 360-0906
Registry dates
- Enumerated
- 2020-03-18
- Last updated
- 2020-03-18
- Certified
- 2020-03-18
Frequently asked questions
- What is Michelle Jackson's NPI number?
- Michelle Jackson's National Provider Identifier (NPI) is 1215563689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Jackson's specialty?
- Michelle Jackson is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Michelle Jackson located?
- Michelle Jackson's practice location on file with NPPES is 500 Bergen Ave, Bronx, NY 10455-4048.
- What is Michelle Jackson's phone number?
- The practice phone number listed in the NPPES registry for Michelle Jackson is (718) 401-5175.
- Is Michelle Jackson's NPI active?
- Yes — Michelle Jackson's NPI (1215563689) is active in the NPPES registry as of the last update on 2020-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.