OrganizationActive
Kaylen Jackson Nutrition LLC
NPI 1710632393 · Registered Dietitian · Edina, MN
Kaylen Jackson Nutrition LLC is a Registered Dietitian organization in Edina, MN (NPI 1710632393).
Provider details
- NPI number
- 1710632393
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Kaylen Jackson, Owner/Lead Dietitian(612) 306-1939
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4005 Monterey Ave
Edina, MN 55416-5046
Phone: (612) 306-1939
Street-level locationGet directions
Mailing address
4005 Monterey Ave
Edina, MN 55416-5046
Other names (DBA / former)
- Doing business as
- Family First Nutrition
Registry dates
- Enumerated
- 2022-02-13
- Last updated
- 2022-02-13
- Certified
- 2022-02-13
Frequently asked questions
- What is Kaylen Jackson Nutrition LLC's NPI number?
- Kaylen Jackson Nutrition LLC's National Provider Identifier (NPI) is 1710632393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kaylen Jackson Nutrition LLC?
- Kaylen Jackson Nutrition LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Kaylen Jackson Nutrition LLC located?
- Kaylen Jackson Nutrition LLC's practice location on file with NPPES is 4005 Monterey Ave, Edina, MN 55416-5046.
- What is Kaylen Jackson Nutrition LLC's phone number?
- The practice phone number listed in the NPPES registry for Kaylen Jackson Nutrition LLC is (612) 306-1939.
- Who is the authorized official for Kaylen Jackson Nutrition LLC?
- The authorized official listed on Kaylen Jackson Nutrition LLC's NPPES record is Kaylen Jackson, Owner/Lead Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kaylen Jackson Nutrition LLC's NPI active?
- Yes — Kaylen Jackson Nutrition LLC's NPI (1710632393) is active in the NPPES registry as of the last update on 2022-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.