NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Jerilyn Ann Jackson, R.D.

Registered Dietitian in Pawtucket, RI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306878079

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Registry record

Entity type Individual (Type 1)
Name Ms. Jerilyn Ann Jackson
Credential R.D.
Sex Female
Practice address 111 Brewster St, Pawtucket, RI, 02860
Fax (401) 729-2179
Enumeration date Jul 6, 2006
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License LDN00388 (RI) Primary
RD · Registered Dietitian: A nutrition professional credentialed by the Commission on Dietetic Registration. About the RD credential

Other identifiers

Identifier Type State Issuer
2038776 Other RI UNITED HEALTH CARE
20695-0 Other RI BLUE CROSS
CP00404528 Other RI BLUE CHIP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1306878079 active?
Yes, as of the latest NPPES snapshot, NPI 1306878079 is active (record last updated 2007-07-08).
How do I verify Jerilyn Jackson's NPI record?
Cross-check NPI 1306878079 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.