Charlotte Bell Jackson, MPH, RD, LDN
NPI 1003143777ActiveIndividual· Dietitian, Registered· Fuquay Varina, NC
Dietitian, Registered (MPH, RD, LDN) with Wake Specialty Physicians LLC, practicing in Fuquay Varina, North Carolina. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1003143777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPH, RD, LDN |
| Sole proprietor | Yes |
| NPI issued | Nov 17, 2009 |
| Last updated in NPPES | Dec 15, 2022 |
| Certified by provider | Dec 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | L002494 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NC) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Wake Specialty Physicians LLCFuquay Varina, NC · 177 clinicians
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