Jaclyn Creazzo, MS, RD, LDN
NPI 1982320412ActiveIndividual· Dietitian, Registered· East Providence, RI
Dietitian, Registered (MS, RD, LDN) with Evolution Nutrition Inc, practicing in East Providence, Rhode Island. Medicare paid $7,807 for services to 16 patients in 2024.
Overview
| NPI | 1982320412 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, LDN |
| Sole proprietor | No |
| NPI issued | Oct 17, 2022 |
| Last updated in NPPES | Oct 17, 2022 |
| Certified by provider | Oct 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
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 (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 279 across 3 procedure codes |
| Paid by Medicare | $7,807 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical group
- Evolution Nutrition IncEast Providence, RI · 25 clinicians
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