Jennifer Soucie, R.D., LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164000202 Issued in IL

Practice address

1600 E Jackson St
Macomb, IL 61455-2530

Phone

(309) 837-9917

NPI assigned

Sep 12, 2007

Sex

Female

Sole proprietor

No

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.

• Memorial Hospital Association

  • Critical Access Hospital
  • Carthage, IL
  • NPI 1730139031

  IL

  Medicare reassignment NPD
• Memorial Hospital Association

  • Rural Health Clinic/Center
  • Carthage, IL
  • NPI 1205887742
  NPD
• Memorial Hospital Association

  • Rural Health Clinic/Center
  • Carthage, IL
  • NPI 1588614002
  NPD
• Memorial Hospital Association

  • Rural Health Clinic/Center
  • Hamilton, IL
  • NPI 1679327779
  NPD
• Memorial Hospital Association

  • Rural Health Clinic/Center
  • La Harpe, IL
  • NPI 1184027849
  NPD (past)
• Memorial Hospital Association

  • Rural Health Clinic/Center
  • Colchester, IL
  • NPI 1699228882
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital Association

  • Critical Access Hospital
  • Carthage, IL
  • NPI 1730139031

  Hospital

  Care Compare affiliation

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Carthage, IL, CCN 141305

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1154516193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552530",
            "telephone_number": "309-837-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552530",
            "telephone_number": "309-837-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUCIE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "R.D., LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164000202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Beth Skiles, APRN
• Jennifer Smith, LCSW
• Mary L. Smith
• Tamara Marie Smith, D.O.
• Casey Sue Sollenberger, RDN
• Jeffrey Ryan Sparks, D.O.
• Springfield Clinic LLP
• Springfield Clinic Macomb Lab
• Layne Stambaugh, PMHNP
• Christine M. Standard, AUD

• All providers in Macomb, IL
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.