Individual provider Active NPI

Mikaela Kasperek, PHD, RD

  • Registered Dietitian
  • Decatur, IL
National Provider Identifier
1255257457
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
086174770 Issued in IL
Practice address
3580 N Dove Dr
Decatur, IL 62526-2223
Phone
(224) 900-0081
NPI assigned
Jun 24, 2026
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 086174770 IL Primary

Addresses

Primary practice location

3580 N Dove Dr
Decatur, IL 62526-2223

Mailing address

3580 N Dove Dr
Decatur, IL 62526-2223

Other names 1

  • Mikaela Webb Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1255257457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 N DOVE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 N DOVE DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262223",
            "telephone_number": "224-900-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPEREK",
        "first_name": "MIKAELA",
        "credential": "PHD, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "086174770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAELA",
            "last_name": "WEBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.