Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abby Jo Tibodeau, RD, LD

Individual provider Registered Dietitian · NPI 1912471665

Abby Jo Tibodeau, RD, LD is a Registered Dietitian OR Nutrition Professional in Mankato, Minnesota. Qualified in 2010, 16 years ago. Practices with Surely Health Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2019
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

1230 E Main St
Mankato, MN 56001-5066
Phone: (507) 625-1811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 3033 (MN)

Record details

NPI number1912471665
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedJanuary 16, 2019
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020
Mailing address120 Mallard Ct, Mankato, MN 56001-1860

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Surely Health Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mankato