Organization Active NPI

The Divorced Dietitian

  • Registered Dietitian
  • Homer Glen, IL
National Provider Identifier
1003762311
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
THE DIVORCED DIETITIAN
Practice address
16056 S Codo Dr
Homer Glen, IL 60491-7923
Phone
(815) 351-0838
NPI assigned
Mar 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Ms. Meghan Daw Sedivy, RD, LDNNPI 1336408665
Title
Registered Dietitian and Founder
Phone
(815) 351-0838

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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

16056 S Codo Dr
Homer Glen, IL 60491-7923

Mailing address

16056 S Codo Dr
Homer Glen, IL 60491-7923
Phone (815) 351-0838

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": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1003762311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16056 S CODO DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917923",
            "telephone_number": "815-351-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16056 S CODO DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917923",
            "telephone_number": "815-351-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIVORCED DIETITIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "SEDIVY",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "DAW",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN AND FOUNDER",
        "authorized_official_telephone_number": "815-351-0838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.