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

Individual provider Registered Dietitian · NPI 1982320412

Jaclyn Creazzo, MS, RD, LDN is a Registered Dietitian OR Nutrition Professional in East Providence, Rhode Island. Qualified in 2022, 4 years ago. Practices with Evolution Nutrition Inc, a 25-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

450 Veterans Memorial Pkwy
East Providence, RI 02914-5300
Phone: (401) 396-9331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1982320412
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LDN
Sole proprietorNo
NPI enumeratedOctober 17, 2022
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Evolution Nutrition Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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