Jerilyn Ann Jackson, R.D.
NPI 1306878079ActiveIndividual· Dietitian, Registered· Cranston, RI
Dietitian, Registered (R.D.) in Cranston, Rhode Island, licensed in RI, with an NPI issued in July 2006. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1306878079 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.D. |
| Sole proprietor | No |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | LDN00388 | RI |
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 (RI) |
|---|
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