Medical Nutrition Therapists, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MEDICAL NUTRITION THERAPISTS, LLC

Practice address

510 N Harrison St
Trenton, IL 62293-1070

Phone

(618) 401-7675

NPI assigned

Sep 5, 2007

Last updated

Sep 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Rae Haselhorst, R.D., L.D.N.NPI 1609084532

Title

Member

Phone

(618) 401-7675

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Rae Haselhorst, R.D., L.D.N.

  • Registered Dietitian
  • Trenton, IL
  • NPI 1609084532

  Dietitian, Registered

  NPD (past) Authorized official
• Cathy Sue Takacs, R.D., L.D.N.

  • Registered Dietitian
  • Scott AFB, IL
  • NPI 1952593519

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189814400000",
    "number": "1023202827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N HARRISON ST",
            "city": "TRENTON",
            "state": "IL",
            "postal_code": "622931070",
            "telephone_number": "618-401-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N HARRISON ST",
            "city": "TRENTON",
            "state": "IL",
            "postal_code": "622931070",
            "telephone_number": "618-401-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL NUTRITION THERAPISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-15",
        "status": "A",
        "authorized_official_last_name": "HASELHORST",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "618-401-7675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D., L.D.N."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Klein, BA, MA, EDS
• Angela K. Klein, CCC/SLP
• Craig Joseph Kohlbrecher, OTR/L, EMT
• Lynn Kunz, RPH
• Madeleine Martin Eckert, LPMT, MT-BC
• Lori Ann Noggle, M.S. CCC-SLP
• Jordyn Nunez
• Autumn O'Reilly, BCABA
• Pamala Padfield
• Jamie Pence

• Registered Dietitian in Trenton, IL
• Providers in Trenton, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2007; 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.