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

Shanta Dayjah Jackson, RDN

Individual provider Registered Dietitian · NPI 1013758374

Shanta Dayjah Jackson, RDN is a Registered Dietitian OR Nutrition Professional in Mechanicsville, Virginia. Qualified in 2021, 5 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2024
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

8266 Atlee Rd Ste 215
Mechanicsville, VA 23116-1805
Phone: (804) 248-3878
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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 86289730 (VA)

Record details

NPI number1013758374
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Mechanicsville