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

Ellie Lynn Croaker, RD, LD

Individual provider Registered Dietitian · NPI 1063036820

Ellie Lynn Croaker, RD, LD is a Registered Dietitian in Albertville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

12161 63rd St NE
Albertville, MN 55301-4627
Phone: (612) 709-3491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (MN)

Record details

NPI number1063036820
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorYes
NPI enumeratedJune 7, 2020
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

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