Earnestine D. Jackson, MS, RDN, LD
NPI 1104418672ActiveIndividual· Dietitian, Registered· Garland, TX
Dietitian, Registered (MS, RDN, LD) in Garland, Texas, licensed in TX, with an NPI issued in February 2021. Medicare paid $2,414 for services to 11 patients in 2024.
Overview
| NPI | 1104418672 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RDN, LD |
| Sole proprietor | No |
| NPI issued | Feb 6, 2021 |
| Last updated in NPPES | Feb 6, 2021 |
| Certified by provider | Feb 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86174756 | TX |
| Nutritionist | 133N00000X | — | — |
| Nutritionist, Nutrition, Education | 133NN1002X | — | — |
| Dietitian, Registered, Nutrition, Obesity and Weight Management | 133VN1201X | — | — |
| Specialist | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 92 across 2 procedure codes |
| Paid by Medicare | $2,414 |
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