DR. STEVEN JAC TODD JACKSON PHD RD NPI 1134364029

NPI Information

  • NPI: 1134364029
  • Provider Name: DR. STEVEN JAC TODD JACKSON, PHD, RD
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 15 KANSAS STREET, BLDG 42
    USARIEM-MND
    NATICK, MA
    ZIP 01760
  • Phone: (508) 233-5808

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NPI Details

DR. Steven Jac Todd Jackson, PHD, RD is a dietitian registered in Natick, MA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. DR. Steven Jac Todd Jackson, PHD, RD NPI is 1134364029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 KANSAS STREET, BLDG 42
USARIEM-MND
NATICK, MA
ZIP 01760
Phone: (508) 233-5808

The enumeration date for this NPI number is 12/8/2008 and was last updated on 12/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredLD003265GEORGIANo
2133V00000XDietitian, Registered164.004841ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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