Jerilyn Ann Jackson , RD
Dietitian, Registered β’ Pawtucket, RI
111 Brewster St
Pawtucket, RI 028604400
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
111 Brewster St
Pawtucket, RI 028604400
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Cranston, RI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Dietitian, Registered: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Pawtucket and Rhode Island
13 active clinicians are listed under Dietitian, Registered with a practice address in Pawtucket, RI (369 in Rhode Island).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Pawtucket
7.7% of these 13 clinicians have the CMS telehealth indicator.
15.4% of these 13 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-07-31NUCC Taxonomy Code: 133V00000X
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
Secondary Practice Locations
1170 Pontiac Ave
Cranston, RI 029207944
Phone: 4018959937
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 420 SCRABBLETOWN RD STE A, NORTH KINGSTOWN, RI 028523638 (Tel: 4013434343)
NPI status registered as active in NPPES database
Registered at 111 BREWSTER ST, PAWTUCKET, RI 028604400 (Tel: 4017292360)
Registered at 111 BREWSTER ST, PAWTUCKET, RI 028604400 (Tel: 4017292360)
Recorded as JERILYN JACKSON, R.D.
Dietitian, Registered (license number reported to NPPES: RI LDN00388)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dietitian, Registereds in Pawtucket
Healthcare providers in PawtucketMailing Address
420 Scrabbletown Rd Ste A
North Kingstown, RI 028523638
Phone: 4013434343