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

Jaclyn S Boardman, RD

Individual provider Registered Dietitian · NPI 1053760553

Jaclyn S Boardman, RD is a Registered Dietitian OR Nutrition Professional in Madison, Wisconsin. Qualified in 2006, 20 years ago. Practices with Dean Health Systems Inc, a 1,184-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
20
Licensed in
WI
In the registry since
2016
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

700 S Park St Ste A
Madison, WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-2977
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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 2911-029 (WI)

Record details

NPI number1053760553
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing address700 S Park St Ste A, Madison, WI 53715-1830

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Dean Health Systems Inc — 1184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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