Samantha Jackson, RD
NPI 1609548544ActiveIndividual· Dietitian, Registered· Eau Claire, WI
Dietitian, Registered (RD) in Eau Claire, Wisconsin, licensed in WI, with an NPI issued in September 2021. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1609548544 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Sep 29, 2021 |
| Last updated in NPPES | Oct 21, 2021 |
| Certified by provider | Oct 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 3178-29 | WI |
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) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (WI) |
|---|
Other Dietitian, Registered providers in Eau Claire
- 1720331457
- 1922136407
- 1548939226
- 1588620579
- 1184348310
- 1932610839
- 1962720243
- 1801995212
- 1881549764
- 1588175418
- 1750712543
- 1841399367