Lauren Jackey, RDN
NPI 1063129542ActiveIndividual· Dietitian, Registered· Herndon, VA
Opted out of Medicare from April 2024 to April 2028. Dietitian, Registered (RDN) in Herndon, Virginia, licensed in MD, with an NPI issued in November 2022.
Overview
| NPI | 1063129542 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN |
| Sole proprietor | Yes |
| NPI issued | Nov 3, 2022 |
| Last updated in NPPES | Nov 3, 2022 |
| Certified by provider | Nov 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | VA |
| Dietitian, Registered | 133V00000X | DX5814 | MD |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 19, 2024 – Apr 19, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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