Top Nutrition & Performance, LLC

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

Legal business name

TOP NUTRITION & PERFORMANCE, LLC

Practice address

922 Talon Dr Ste a
O Fallon, IL 62269-1848

Phone

(618) 206-8302

NPI assigned

Apr 1, 2022

Organization subpart

No

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

Authorized official

Name

Kenneth A Roberts II, MA, RD, LDNNPI 1124678578

Title

Owner/ Lead Dietitian

Phone

(618) 206-8302

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Andre Roberts II, MA, RD, LDN

  • Registered Dietitian
  • O Fallon, IL
  • NPI 1124678578
  NPD Authorized official

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1467192807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 TALON DR STE A",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691848",
            "telephone_number": "618-206-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 TALON DR STE A",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691848",
            "telephone_number": "618-206-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP NUTRITION & PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ LEAD DIETITIAN",
        "authorized_official_telephone_number": "618-206-8302",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MA, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Todd, DO
• Eric Gerard Toennies, DC
• Lindsay Marie Tolksdorf, D.O.
• Julianne Tomac, DNP, FNP-C
• Charles Craig Tompkins, LPC
• Tara Topper, FNP-C
• Theresa Monai Townsend
• Kaitlin Trame
• Isaac Tran, M.D.
• Transformative Beginnings, LLC

• Sports Dietetics Nutrition Registered Dietitian in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Sports Dietetics Nutrition Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.