Individual provider Active NPI

Meghan Daw Sedivy, RD LDN

  • Registered Dietitian
  • Homer Glen, IL
National Provider Identifier
1336408665
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164005167 Issued in IL
Practice address
16056 S Codo Dr
Homer Glen, IL 60491-7923
Phone
(815) 351-0838
NPI assigned
May 7, 2012
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 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 164005167 IL Primary

Addresses

Primary practice location

16056 S Codo Dr
Homer Glen, IL 60491-7923

Mailing address

16056 S Codo Dr
Homer Glen, IL 60491-7923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16056 S Codo Dr
Homer Glen, IL 60491-7923

PO Box
Suite 129
Plainfield, IL 60544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164005167ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Divorced Dietitian Dietitian, Registered Current 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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1336408665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16056 S CODO DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16056 S CODO DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917923",
            "telephone_number": "815-351-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDIVY",
        "first_name": "MEGHAN",
        "middle_name": "DAW",
        "name_prefix": "Ms.",
        "credential": "RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.