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

Jacquelyn K Phillips, LD

Individual provider Registered Dietitian · NPI 1245797737

Jacquelyn K Phillips, LD is a Registered Dietitian OR Nutrition Professional in Canfield, Ohio. Qualified in 2017, 9 years ago. Practices with Nourish, Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

354 Neff Dr
Canfield, OH 44406-1349
Phone: (330) 651-7571
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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 LD.08329 (OH)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1245797737
Entity typeIndividual (Type 1)
GenderFemale
Credentials LD
Sole proprietorYes
NPI enumeratedFebruary 21, 2019
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address354 Neff Dr, Canfield, OH 44406-1349

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Nourish, Inc. — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canfield