Active NPIIndividual provider

Jaclyn Creazzo, MS, RD, LDN

Dietitian, Registered in East Providence, Rhode Island

NPI Number1982320412
Practice location
450 Veterans Memorial Pkwy, East Providence, RI 02914-5300
Fax
—
Last updated
October 17, 2022

Jaclyn Creazzo is a Dietitian, Registered based in East Providence, RI. Jaclyn Creazzo practices in East Providence, RI and has the professional credentials of MS, RD, LDN. The NPI Number for Jaclyn Creazzo is 1982320412. The current practice location address for Jaclyn Creazzo is 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300 and can be reached out via phone at 401-396-9331.

Provider Profile Details

NPI Number
1982320412
Provider Name
Jaclyn Creazzo
Credential
MS, RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
450 Veterans Memorial Pkwy, East Providence, RI 02914-5300
Phone Number
401-396-9331
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2022
Last Update Date
October 17, 2022
Certification Date
October 17, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Veterans Memorial Pkwy
East Providence, RI 02914-5300
Zip
02914-5300
Phone Number
401-396-9331
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
450 Veterans Memorial Pkwy Ste 8C
East Providence, RI 02914-5300
City
East Providence
State
RI
Zip
02914-5300

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jaclyn Creazzo, MS, RD, LDN?

The NPI number of Jaclyn Creazzo, MS, RD, LDN is 1982320412. It was assigned on October 17, 2022 and is currently active in the NPPES registry.

What is the specialty of Jaclyn Creazzo, MS, RD, LDN?

Jaclyn Creazzo, MS, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Jaclyn Creazzo, MS, RD, LDN practice?

The practice location is 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300. The office can be reached at 401-396-9331 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982320412 directly on the NPPES registry website.

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