Christine Marie Cooley, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.004179 Issued in IL

Practice address

375 Medical Group
310 West Losey Street
Scott AFB, IL 62225-5002

Phone

(618) 256-7138

NPI assigned

Jun 22, 2006

Last updated

Sep 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1386680759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W LOSEY ST",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255250",
            "telephone_number": "618-256-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MEDICAL GROUP",
            "address_2": "310 WEST LOSEY STREET",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255002",
            "telephone_number": "618-256-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Alice Cerar, RDH
• Tameka R Chalmers
• Linda Kay Coates, DDS
• Jessica Colanese, MD
• Michael Robert Conners, DDS
• Elizabeth Fort Copeland, LCSW
• Connie Marie Cramer, MSW, LCSW, BCD
• Branden Richard Crockett, D.P.T.
• Ryan Michael Davis, IDMT
• Baylee Austin Delozier, DO

• Registered Dietitian in Scott AFB, IL
• Providers in Scott AFB, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.