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

Mrs. Jacquelyn Ann Costabilo, RD, LD

Individual provider Registered Dietitian · NPI 1134134927

Mrs. Jacquelyn Ann Costabilo, RD, LD is a Registered Dietitian in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

1 Veterans Dr
Minneapolis, MN 55417-2309
Phone: (612) 467-4295
Fax: (612) 727-5997
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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 2353 (MN)

Record details

NPI number1134134927
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedJuly 30, 2006
Last updated in NPPESJuly 8, 2007

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