Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Anne Novak, RD

Individual provider Registered Dietitian · NPI 1912865809

Jackie Anne Novak, RD is a Registered Dietitian OR Nutrition Professional in Ellicott City, Maryland. Qualified in 2024, 2 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2026
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

8388 Court Ave Ste 202
Ellicott City, MD 21043-5203
Phone: (443) 355-7021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86376275

Record details

NPI number1912865809
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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