Individual provider · Type 1 NPI

Macie Alice Dieckman, RDN

Registered Dietitian · Jacksonville, FL

NPI number 1336054055 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2000 Map

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XND15435 (FL)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1336054055

Macie Alice Dieckman, RDN's National Provider Identifier is 1336054055, issued on Aug 17, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 7, 2026.