Active NPI
Camila Pierson, RDN, LDN
- Registered Dietitian
- Morton, IL
National Provider Identifier
1437706025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164009679
- Practice address
- 427 E Greenwood St
Morton, IL 61550-2657 - Phone
- (309) 229-3583
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Registered Dietitian | 133V00000X | 164009679 | IL | Primary |
Addresses
Primary practice location
427 E Greenwood St
Morton, IL 61550-2657
Mailing address
427 E Greenwood St
Morton, IL 61550-2657
Other practice location 1
600 NE Water St
Peoria, IL 61603-4246
Phone (309) 229-3583
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164009679 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| County of Tazewell | Health Educator | Past | Accepting new patients |
| County of Tazewell | Health Educator | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Educator
- Tremont, IL
- NPI 1174277610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1437706025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 E GREENWOOD ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615502657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 E GREENWOOD ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615502657",
"telephone_number": "309-229-3583"
}
],
"practiceLocations": [
{
"address_1": "600 NE Water St",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616034246",
"country_code": "US",
"telephone_number": "309-229-3583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERSON",
"first_name": "CAMILA",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164009679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.