MRS. JACKEE SHRADER RDN NPI 1831771567

NPI Information

  • NPI: 1831771567
  • Provider Name: MRS. JACKEE SHRADER, RDN
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 560 PIERCE ST
    KINGSTON, PA
    ZIP 18704
  • Phone: (570) 283-2161

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NPI Details

MRS. Jackee Shrader, RDN is a dietitian registered in Kingston, PA. 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. MRS. Jackee Shrader, RDN NPI is 1831771567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

560 PIERCE ST
KINGSTON, PA
ZIP 18704-716
Phone: (570) 283-2161
Fax: (570) 714-0670

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure for nutrition management, each 15 minutes (HCPCS:97802)

The enumeration date for this NPI number is 4/22/2021 and was last updated on 5/17/2022.

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, Registered811421PENNSYLVANIANo
2133V00000XDietitian, RegisteredDN001726PENNSYLVANIAYes

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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