MS. JACKIE SUE SHANK (R.D.) – Registered Dietitian, NPI 1427178425

MS. JACKIE SUE SHANK (R.D.) is a healthcare provider. based in St augustine, Florida. specializing in Registered Dietitian. They hold the professional credentials R.D.. They hold a License No. ND812 (FL). The NPI Number for MS. JACKIE SUE SHANK (R.D.) is 1427178425

Main info

Female
Sole Proprietor
Name
MS. JACKIE SUE SHANK (R.D.)
NPI
1427178425
Phone
(904) 826-4307
Address
401 PORPOISE POINT DR
Enumeration Date
31 March 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MS. JACKIE SUE SHANK (R.D.)

  • 401 PORPOISE POINT DR

    ST AUGUSTINE, FL 320842959

    Phone: (904) 826-4307

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32084)

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Frequently asked questions

What unique ID ties claims to MS. JACKIE SUE SHANK (R.D.)?
NPI 1427178425 is assigned to MS. JACKIE SUE SHANK (R.D.) under the national enumeration system.
Is MS. JACKIE SUE SHANK (R.D.) currently active in the NPI registry?
CMS-published data lists MS. JACKIE SUE SHANK (R.D.) as an active registrant.
Does MS. JACKIE SUE SHANK (R.D.) list a primary specialty?
If you are matching referrals, note Registered Dietitian for MS. JACKIE SUE SHANK (R.D.). Clinical services aligned with this taxonomy classification.
What location shows for MS. JACKIE SUE SHANK (R.D.)?
We surface St Augustine, Florida for MS. JACKIE SUE SHANK (R.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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