Active NPI
Melodi J Peters, R.D. LDN
- Registered Dietitian
- Barrington, IL
National Provider Identifier
1245549039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.001483
- Practice address
- 450 W Highway 22
Barrington, IL 60010-1919 - Phone
- (847) 842-4375
- Fax
- (847) 842-4177
- NPI assigned
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 164.001483 | IL | |
| Registered Dietitian | 133V00000X | 164.001483 | IL | Primary |
Addresses
Primary practice location
450 W Highway 22
Barrington, IL 60010-1919
Mailing address
450 W Highway 22
Barrington, IL 60010-1919
Phone (847) 842-4375
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.001483 | IL | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1245549039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 W HIGHWAY 22",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600101919",
"telephone_number": "847-842-4375",
"fax_number": "847-842-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 W HIGHWAY 22",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600101919",
"telephone_number": "847-842-4375",
"fax_number": "847-842-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "MELODI",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "R.D. LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "IL",
"license": "164.001483",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.001483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.