JACQUELINE CARLSON RD CDE NPI 1942291935

NPI Information

  • NPI: 1942291935
  • Provider Name: JACQUELINE CARLSON, RD CDE
  • Classification: Dietitian, Registered - 133VN1006X
  • Specialization: Nutrition, Metabolic
  • Entity Type: Individual
  • Address: 145 W 23RD ST
    ERIE, PA
    ZIP 16502
  • Phone: (814) 835-2626

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NPI Details

Jacqueline Carlson, RD CDE is a nutrition and metabolic dietitian registered in Erie, PA with 42 years of experience. The provider is a registered dietitian who achieves specialized competency in metabolic nutrition. Jacqueline Carlson, RD CDE NPI is 1942291935. 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:

145 W 23RD ST
ERIE, PA
ZIP 16502-858
Phone: (814) 835-2626
Fax: (814) 835-2646

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.

  • Diabetes outpatient self-management training services, individual, per 30 minutes (HCPCS:G0108)

The enumeration date for this NPI number is 10/31/2005 and was last updated on 8/15/2022.

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
1133VN1006XDietitian, RegisteredNutrition, Metabolic000806NEW YORKNo
2133VN1006XDietitian, RegisteredNutrition, MetabolicDN006773PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005261701OTHERNEW YORKBLUE CROSS
2051101000071OTHERNEW YORKFIDELIS

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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