Morgan Michelle Repking
Individual provider Active NPI Registered Dietitian · Dieterich, IL
NPI 1003785783 · NPPES record last updated Nov 1, 2025
Key facts
- NPI
- 1003785783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86377264 (IL)
- Practice address
- 8383 N 2000TH St
Dieterich, IL 62424-2328 - Phone
- (217) 821-2207
- NPI assigned
- Nov 1, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86377264 | IL | MD | Registered Dietitian |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Networks
- TX HMO D-SNP
- TX HMO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86377264 | IL | Yes |
Addresses
Primary practice location
8383 N 2000TH St
Dieterich, IL 62424-2328
Mailing address
8383 N 2000TH St
Dieterich, IL 62424-2328
Phone (217) 821-2207
Other providers in Dieterich, IL
- Debra Kitten
- Angela Koester
- Morgan Rae Lidy
- Julie Marie Loy
- Mid-Illinois Medical Care Associates, LLC
- Michelle Schnepper
- Stephanie Shadle
- Jennifer J Tinsley
- Traci Walk
- Diana Williams
All providers in Dieterich, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.