Synergy

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SYNERGY

Practice address

11 N Main St
Pinckneyville, IL 62274-1153

Phone

(618) 314-2905

NPI assigned

Apr 10, 2025

Organization subpart

No

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

Authorized official

Name

Debra Queen

Title

Rd

Phone

(618) 314-2905

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1336934454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741153",
            "telephone_number": "618-314-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741153",
            "telephone_number": "618-314-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "RD",
        "authorized_official_telephone_number": "618-314-2905"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rose Thornton
• Dan Varel, P.T.
• Vna Homecare, Inc.
• Vna Homecare, Inc.

• Registered Dietitian in Pinckneyville, IL
• Providers in Pinckneyville, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.