Jacklyn Kim, RDN, CDN
NPI 1649111345ActiveIndividual· Dietitian, Registered· Sanford, NC
Dietitian, Registered (RDN, CDN) in Sanford, North Carolina, with an NPI issued in April 2026.
Overview
| NPI | 1649111345 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN, CDN |
| Sole proprietor | Yes |
| NPI issued | Apr 6, 2026 |
| Last updated in NPPES | Apr 6, 2026 |
| Certified by provider | Apr 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dietitian, Registered providers in Sanford
- 1558060178
- 1467414979
- 1659135366
- 1730343807
- 1083330658
- 1194347690
- 1851138507
- 1013133933
- 1982143699