Steven Jac Todd Jackson, PHD, RD
NPI 1134364029ActiveIndividual· Dietitian, Registered· Natick, MA
Dietitian, Registered (PHD, RD) in Natick, Massachusetts, licensed in IL and GA, with an NPI issued in December 2008.
Overview
| NPI | 1134364029 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, RD |
| Sole proprietor | No |
| NPI issued | Dec 8, 2008 |
| Last updated in NPPES | Dec 8, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 164.004841 | IL |
| Dietitian, Registered | 133V00000X | LD003265 | GA |
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 |
|---|
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All 32 registered dietitians in Natick · All registered dietitians in Massachusetts