Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica T Spackman, RDN, LDN

Individual provider Registered Dietitian · NPI 1114691110

Jessica T Spackman, RDN, LDN is a Registered Dietitian in Clearwater, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

1901 Ulmerton Rd Ste 625-314
Clearwater, FL 33762-2300
Phone: (727) 314-5292
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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 ND10290 (FL)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1114691110
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LDN
Sole proprietorYes
NPI enumeratedAugust 3, 2021
Last updated in NPPESMarch 31, 2025
Certification dateMarch 30, 2025

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