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

Laura Ann Jacob, RD

Individual provider Registered Dietitian · NPI 1144427857

Laura Ann Jacob, RD is a Registered Dietitian OR Nutrition Professional in Champaign, Illinois. Qualified in 2005, 21 years ago. Practices with Christie Clinic, PLLC, a 220-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2007
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1801 W Windsor Rd
Champaign, IL 61822-6217
Phone: (217) 366-8144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164.004493 (IL)

Record details

NPI number1144427857
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJune 27, 2007
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Christie Clinic, Pllc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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