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

Mrs. Jeni Diane Tackett, RD

Individual provider Registered Dietitian · NPI 1366819690

Mrs. Jeni Diane Tackett, RD is a Registered Dietitian in East Moline, Illinois. Licensed in Iowa and Illinois. Registered with an NPI since 2015.

Licensed in
IA, IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

3928 172nd St N
East Moline, IL 61244-9728
Phone: (309) 230-9517
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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 876463 (IA)
Registered Dietitian Taxonomy 133V00000X · Licence 876463 (IL)

Record details

NPI number1366819690
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedAugust 21, 2015
Last updated in NPPESAugust 21, 2015

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