Jennifer Reiland Cueller, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.004947 Issued in IL

Practice address

20201 S. Crawford Ave
Suite 1403
Olympia Fields, IL 60461

Phone

(708) 679-2130

Fax

(708) 679-2260

NPI assigned

Apr 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St James Hospital US Catholic Conference

  • Podiatrist
  • Olympia Fields, IL
  • NPI 1861705303
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1013274042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 S. CRAWFORD AVE",
            "address_2": "SUITE 1403",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-679-2130",
            "fax_number": "708-679-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 S. CRAWFORD AVE",
            "address_2": "SUITE 1403",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-679-2130",
            "fax_number": "708-679-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILAND CUELLER",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL5686016",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Anthony Rapoff, D.O.
• Yolanda L Ratliff, MS, MA, LPC
• Pravallika Recharla, MBBS
• N Harinatha Reddy, MD
• Laurie Reed
• Reliable-Healthcare LLC
• Renaissance Therapy Services
• Renewed Focus Psychiatry LLC
• Restore Hope DNJ Therapy, PLLC
• Rich Township H.S. District 227

• Registered Dietitian in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.