MS. BEVERLY ANN JACKEY (NPI# 1356849293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356849293 |
| Entity Type | Individual |
| Full Name | MS. BEVERLY ANN JACKEY |
| Credential | MS,RDN |
| Practice Address |
125 S Lynchburg St Chestertown MD 21620-1146 |
| Mailing Address |
Cecil County Extension Office 200 Chesapeake Blvd. Elkton MD 21921 |
| Practice Telephone | 4107782167 |
| Mailing Telephone | 4109968133 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
125 S LYNCHBURG ST |
| City | CHESTERTOWN |
| State | MD |
| Zip Code | 21620-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457307076 | Kent County Health Dept. | Public Health or Welfare | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2006-05-25 |
| 1508372731 | Kent County Health Department | Case Management | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2017-12-26 |
| 1750895546 | Rebecca Rice | Health Educator | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2017-12-01 |
| 1427562347 | Nicole Morris | Registered Nurse | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2017-11-30 |
| 1457620577 | Kent County Health Department | Public Health or Welfare | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2011-12-19 |
| 1568601698 | Kent County Health Department | Public Health or Welfare | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2009-02-12 |
| 1972770782 | Kent County Health Dept | Public Health or Welfare | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2008-05-12 |
| 1962682807 | Leland Spencer | Preventive Medicine | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2007-11-08 |
| 1437344900 | Patricia L Wilson | Nurse Practitioner | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2007-09-07 |
| 1295931830 | Kent County Health Dept | Public Health or Welfare | 125 S Lynchburg St, Chestertown, MD 21620-1146 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396236824 | Fletcher Darby Johnson | Health Educator | 813 High Street, Chestertown, MD 21620 | 2018-05-21 |
| 1134583818 | Chestertown Physical Therapy | Occupational Therapist | 200 Mognec Road, Chestertown, MD 21620 | 2016-04-08 |
| 1871993436 | Julia Belanger | Family Medicine | 126 Philosophers Ter Ste 200, Chestertown, MD 21620 | 2014-09-01 |
| 1841536307 | Michael C. Hickman | Physical Therapy Assistant | 415 Morgnec Rd., Chestertown, MD 21620 | 2013-01-02 |
| 1083854715 | For All Seasons, Inc. | Social Worker | 516 Washingston St, Chestertown, MD 21620 | 2009-02-20 |
| 1588810972 | Dhmh Upper Shore Community Mental Health | Psychiatric Hospital | 300 Scheeler Road, Chestertown, MD 21620 | 2008-08-18 |
| 1912153784 | Edwin Tom Taylor | Pediatrics | 100 Brown Street Med Ser Bldg Ste 107, Chestertown, MD 21620 | 2008-08-13 |
| 1083884613 | Danielle Latricia Gomer | Clinic/Center | 606 Cannon Street, Chestertown, MD 21620 | 2008-03-11 |
| 1821276320 | James Robert Siemen | Psychologist | 300 Sheeler Road, Chestertown, MD 21620 | 2008-02-06 |
| 1326223504 | Roseannette C Cooper | Acupuncturist | 311 Rosin Drive, Chestertown, MD 21620 | 2008-01-07 |
| Find all providers in zip 21620 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154643690 | Suzanne C Benjamin | Dietitian, Registered | 6602 Church Hill Rd Ste 200, Chestertown, MD 21620-2316 | 2010-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609791 | Emily Chapman | Dietitian, Registered | 8901 Rockville Pike Rm 348, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1629679436 | Anna Carey Smith | Dietitian, Registered | 8901 Rockville Pike Rm 3103, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1124629761 | Chantelle A Raines | Dietitian, Registered | 4560 Crain Hwy Ste 1, White Plains, MD 20695-3084 | 2020-11-02 |
| 1295336881 | Luminita Alina Bota | Dietitian, Registered | 4560 Crain Hwy Ste 101, White Plains, MD 20695-3084 | 2020-11-02 |
| 1174123962 | Rachel Coury | Dietitian, Registered | 539 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-29 |
| 1699373761 | Bailey Elizabeth Saneman | Dietitian, Registered | 2102 Wiley Rd, Jarrettsville, MD 21084-1801 | 2020-10-12 |
| 1770180176 | Nu Flora LLC | Dietitian, Registered | 10904 Gunpowder Dr, Fort Washington, MD 20744-4155 | 2020-10-08 |
| 1407453228 | Caroline Pearson Tussing | Dietitian, Registered | 11237 Greenspring Ave, Lutherville Timonium, MD 21093-3510 | 2020-10-05 |
| 1568069557 | Huong Nguyen | Dietitian, Registered | 2262 Audrey Manor Ct, Waldorf, MD 20603-4918 | 2020-10-03 |
| 1316544562 | Paige Kalyani | Dietitian, Registered | 118 E Oak Ridge Dr Ste 1100, Hagerstown, MD 21740-7793 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERTOWN |
| Zip Code | 21620 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.