Jacquelyn K. Phillips, LD
NPI 1245797737ActiveIndividual· Dietitian, Registered· Canfield, OH
Dietitian, Registered (LD) with Nourish Inc, practicing in Canfield, Ohio. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1245797737 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LD |
| Sole proprietor | Yes |
| NPI issued | Feb 21, 2019 |
| Last updated in NPPES | Apr 25, 2024 |
| Certified by provider | Apr 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | LD.08329 | OH |
| Dietitian, Registered | 133V00000X | — | — |
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 (TX) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Nourish IncAustin, TX · 300 clinicians
Other Dietitian, Registered providers in Canfield
- 1740050269
- 1396291845
- 1255965893
- 1922912955
- 1134565641
- 1578617072
- 1447028998
- 1205672052
- 1386584977
- 1316569247
- 1013688423
- 1538322714