Organization Active NPI

Angela McClain Nutrition LLC

  • Nutritionist
  • Princeton, IL
National Provider Identifier
1003700600
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
ANGELA MCCLAIN NUTRITION LLC
Practice address
405 E Peru St
Princeton, IL 61356-2152
Phone
(815) 252-5725
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela McClain, MS, CNS, LDNNPI 1366233967
Title
LDN
Phone
(815) 252-5725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

405 E Peru St
Princeton, IL 61356-2152

Mailing address

405 E Peru St
Princeton, IL 61356-2152
Phone (815) 252-5725

Other identifiers 1

IdentifierTypeStateIssuer
1366233967OtherILTYPE 1 NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1003700600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E PERU ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562152",
            "telephone_number": "815-252-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E PERU ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562152",
            "telephone_number": "815-252-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA MCCLAIN NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "LDN",
        "authorized_official_telephone_number": "815-252-5725",
        "authorized_official_credential": "MS, CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1366233967",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.