Laura Ann Jacob, R.D.
NPI 1144427857ActiveIndividual· Dietitian, Registered· Champaign, IL
Dietitian, Registered (R.D.) with Christie Clinic, PLLC, practicing in Champaign, Illinois. Medicare paid $7,666 for services to 61 patients in 2024.
Overview
| NPI | 1144427857 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2007 |
| Last updated in NPPES | May 29, 2024 |
| Certified by provider | May 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 164.004493 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 281 across 2 procedure codes |
| Paid by Medicare | $7,666 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical group
- Christie Clinic, PLLCChampaign, IL · 220 clinicians
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