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Active NPI 1427178425 Individual Practitioner Female Practitioner

Jackie Sue Shank , RD

Dietitian, Registered • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Jackie Shank, RD is a registered healthcare professional specializing in Dietitian, Registered in St Augustine, FL. Practice services are available at 401 PORPOISE POINT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 Porpoise Point Dr

St Augustine, FL 320842959

Telephone 9048264307

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
22 Specialists

Practicing in St Augustine, FL (3492 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License FL ND812

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 401 PORPOISE POINT DR, ST AUGUSTINE, FL 320842959 (Tel: 9048264307)

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Updated Business Mailing Address July 08, 2007

Registered at 401 PORPOISE POINT DR, ST AUGUSTINE, FL 320842959 (Tel: 9048264307)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACKIE SHANK, R.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dietitian, Registered (License #ND812 in FL)

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Initial NPI Registration & Enumeration March 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427178425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

401 Porpoise Point Dr

St Augustine, FL 320842959

Phone: 9048264307

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.