Active NPI
Taryn A Decicco, LAC CDN
- Nutritionist
- Arlington, IL
National Provider Identifier
1144312786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 304 E Rand Road
Suite 285
Arlington, IL 60004 - Phone
- (847) 577-4455
- Fax
- (847) 577-4557
- NPI assigned
- Sep 29, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | IL | Primary | |
| Acupuncturist | 171100000X | IL |
Addresses
Primary practice location
304 E Rand Road
Suite 285
Arlington, IL 60004
Mailing address
304 E Rand Road
Suite 285
Arlington, IL 60004
Phone (847) 577-4455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198000665 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple a Day Clinic | Nutritionist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1144312786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E RAND ROAD",
"address_2": "SUITE 285",
"city": "ARLINGTON",
"state": "IL",
"postal_code": "60004",
"telephone_number": "847-577-4455",
"fax_number": "847-577-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 E RAND ROAD",
"address_2": "SUITE 285",
"city": "ARLINGTON",
"state": "IL",
"postal_code": "60004",
"telephone_number": "847-577-4455",
"fax_number": "847-577-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECICCO",
"first_name": "TARYN",
"middle_name": "A",
"credential": "LAC CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.