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Active NPI 1609194190 Individual Practitioner Male Practitioner

Jack D Tallman , RD

Dietitian, Registered • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Jack Tallman, RD is a registered healthcare professional specializing in Dietitian, Registered in Jackson, MI. Practice services are available at 1200 N WEST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 N West Ave
Suite 300

Jackson, MI 492022179

Telephone 5177891234
Fax 5177847040
Associated Practice Facility / Clinic
🏢 Recovery Technology Llc Facility NPI 1144259094

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Jackson, MI (1846 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 MI 807299

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Melanie Horton , RD

Dietitian, Registered

NPI 1023400181

Registered Dietitian

Beanna Martinez , OTR

Occupational Therapist

NPI 1063553212

Occupational Therapist Registered

Sabrina Jensen , LLPC

Counselor - Mental Health

NPI 1083256655
Kelsey Lantis , LLMSW

Social Worker - Clinical

NPI 1124693239

Limited Licensed Master Social Worker

Annette Wegman , RN

Registered Nurse

NPI 1144749664

Registered Nurse

Nathan Horton , BA, BSW, LMSW

Social Worker - Clinical

NPI 1184288433

Bachelor of Arts, Bachelor of Social Work, Licensed Master Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 10, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2010

Registered at 1200 N WEST AVE, SUITE 300, JACKSON, MI 492022179 (Tel: 5177891234)

📍
Updated Business Mailing Address May 10, 2010

Registered at 1200 N WEST AVE, SUITE 300, JACKSON, MI 492022179 (Tel: 5177891234)

👤
Provider Name / Credentials Updated May 10, 2010

Recorded as JACK TALLMAN, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2010

Dietitian, Registered (License #807299 in MI)

🟢
Initial NPI Registration & Enumeration May 10, 2010

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: 1609194190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2010
Last Update: May 10, 2010
Sole Proprietor: No

Mailing Address

1200 N West Ave, Suite 300

Jackson, MI 492022179

Phone: 5177891234

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.