Active NPI
Chloe M Morrell, RD
- Registered Dietitian
- Champaign, IL
National Provider Identifier
1447078258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164011024
- Practice address
- 4530 Nicklaus Dr Apt 207
Champaign, IL 61822-1498 - Phone
- (815) 302-0766
- NPI assigned
- Sep 30, 2024
- Last updated
- Sep 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164011024 | IL | Primary |
Addresses
Primary practice location
4530 Nicklaus Dr Apt 207
Champaign, IL 61822-1498
Mailing address
4530 Nicklaus Dr Apt 207
Champaign, IL 61822-1498
Phone (815) 302-0766
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 |
|---|---|---|---|
| 164011024 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chloe's Lifestyle Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1447078258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 NICKLAUS DR APT 207",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221498",
"telephone_number": "815-302-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 NICKLAUS DR APT 207",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221498",
"telephone_number": "815-302-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRELL",
"first_name": "CHLOE",
"middle_name": "M",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164011024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.