Active NPI
The Divorced Dietitian
- Registered Dietitian
- Homer Glen, IL
National Provider Identifier
1003762311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Meghan Daw Sedivy, RD, LDN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryPractitioners & 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.