Active NPI
Meghan Daw Sedivy, RD LDN
- Registered Dietitian
- Homer Glen, IL
National Provider Identifier
1336408665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164005167
- Practice address
- 16056 S Codo Dr
Homer Glen, IL 60491-7923 - Phone
- (815) 351-0838
- NPI assigned
- May 7, 2012
- Last updated
- Feb 19, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 164005167 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New 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.