Annie L. Jacobson, RDN, LN
NPI 1174087605ActiveIndividual· Dietitian, Registered· Aberdeen, SD
Dietitian, Registered (RDN, LN) in Aberdeen, South Dakota, licensed in SD and ND, with an NPI issued in January 2019. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1174087605 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN, LN |
| Sole proprietor | No |
| NPI issued | Jan 29, 2019 |
| Last updated in NPPES | Dec 6, 2024 |
| Certified by provider | Dec 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 0358 | SD |
| Nutritionist | 133N00000X | 0358 | SD |
| Dietitian, Registered | 133V00000X | 1066 | ND |
| Dietitian, Registered | 133V00000X | 998682 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (SD) |
|---|
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