Jackie Anne Novak, RD
NPI 1912865809ActiveIndividual· Dietitian, Registered· Ellicott City, MD
Dietitian, Registered (RD) in Ellicott City, Maryland, with an NPI issued in January 2026. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1912865809 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | Yes |
| NPI issued | Jan 12, 2026 |
| Last updated in NPPES | Jan 12, 2026 |
| Certified by provider | Jan 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86376275 | — |
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 (MD) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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