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Active NPI 1891866034 Individual Practitioner Female Practitioner

Diane L Jackson

Dietitian, Registered • Everett, WA

Professional Overview & Biography Verified Profile Summary

Diane Jackson is a registered healthcare professional specializing in Dietitian, Registered in Everett, WA. Practice services are available at 3901 HOYT AVE under active NPI credentials.

Frequently performed procedures and clinical services include medical nutrition therapy, assessment and intervention, each, diabetes outpatient self-management training services, individual, per, therapy procedure reassessment for nutrition management, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3901 Hoyt Ave

Everett, WA 982014918

Telephone 4252590966
Associated Practice Facility / Clinic
🏢 Optum Care Washington Pllc Facility NPI 1831186766

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
56 Specialists

Practicing in Everett, WA (2154 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
220 54 $88.40 $27.70
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
88 32 $116.25 $51.52
97803 Therapy procedure reassessment for nutrition management, each 15 minutes
52 12 $75.65 $22.61

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA DI00001044

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
DI00001044 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Douglas Nickels

Case Manager/Care Coordinator

NPI 1003126913
NPI 1003178567

Doctor of Medicine (M.D.)

Siyi Cao , NP

Nurse Practitioner - Family

NPI 1003539347

Nurse Practitioner

NPI 1003870361

Doctor of Medicine (M.D.)

Edward Bauer , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023038486

Certified Registered Nurse Anesthetist

Dr. Andy Yen , MD

Internal Medicine

NPI 1043879133

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2014

Registered at 3901 HOYT AVE, EVERETT, WA 982014918 (Tel: 4252590966)

📍
Updated Business Mailing Address July 16, 2014

Registered at PO BOX 5127, EVERETT, WA 982065127

👤
Provider Name / Credentials Updated July 16, 2014

Recorded as DIANE JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2014

Dietitian, Registered (License #DI00001044 in WA)

🟢
Initial NPI Registration & Enumeration November 10, 2006

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: 1891866034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2006
Last Update: July 16, 2014
Sole Proprietor: Yes

Mailing Address

Po Box 5127

Everett, WA 982065127

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.