IndividualActive
Jacklyn Kim, RDN, CDN
NPI 1649111345 · Registered Dietitian · Sanford, NC
Jacklyn Kim, RDN, CDN is a Registered Dietitian provider in Sanford, NC (NPI 1649111345).
Provider details
- NPI number
- 1649111345
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, CDN
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
500 Westover Dr # 19431
Sanford, NC 27330-8941
Phone: (512) 693-7045
Street-level locationGet directions
Mailing address
10 Prospect St
Nanuet, NY 10954-7552
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-02
Frequently asked questions
- What is Jacklyn Kim's NPI number?
- Jacklyn Kim's National Provider Identifier (NPI) is 1649111345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacklyn Kim's specialty?
- Jacklyn Kim is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jacklyn Kim located?
- Jacklyn Kim's practice location on file with NPPES is 500 Westover Dr # 19431, Sanford, NC 27330-8941.
- What is Jacklyn Kim's phone number?
- The practice phone number listed in the NPPES registry for Jacklyn Kim is (512) 693-7045.
- Is Jacklyn Kim's NPI active?
- Yes — Jacklyn Kim's NPI (1649111345) is active in the NPPES registry as of the last update on 2026-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.