IndividualActive
Theresa Jackson, RD
NPI 1790332443 · Registered Dietitian · Kenmore, NY
Theresa Jackson, RD is a Registered Dietitian provider in Kenmore, NY (NPI 1790332443).
Provider details
- NPI number
- 1790332443
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(59/100 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
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
2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone: (716) 447-6538
Street-level locationGet directions
Mailing address
15 Brookhaven Ln
Lancaster, NY 14086-9568
Registry dates
- Enumerated
- 2019-08-19
- Last updated
- 2019-08-19
Frequently asked questions
- What is Theresa Jackson's NPI number?
- Theresa Jackson's National Provider Identifier (NPI) is 1790332443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Jackson's specialty?
- Theresa Jackson is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Theresa Jackson located?
- Theresa Jackson's practice location on file with NPPES is 2950 Elmwood Ave, Kenmore, NY 14217-1304.
- What is Theresa Jackson's phone number?
- The practice phone number listed in the NPPES registry for Theresa Jackson is (716) 447-6538.
- Is Theresa Jackson's NPI active?
- Yes — Theresa Jackson's NPI (1790332443) is active in the NPPES registry as of the last update on 2019-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.