Rebel Nutrition PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

REBEL NUTRITION PLLC

Practice address

1919 W Taylor St
Chicago, IL 60612-7246

Phone

(815) 409-8501

NPI assigned

Apr 19, 2024

Last updated

Apr 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reanna Peterman, MS, RDN, LDNNPI 1467942631

Title

Manager

Phone

(815) 409-8501

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reanna Peterman, MS, RDN, LDN

  • Registered Dietitian
  • Chicago, IL
  • NPI 1467942631

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1467207852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 CEDAR CIR",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127246",
            "telephone_number": "815-409-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL NUTRITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "PETERMAN",
        "authorized_official_first_name": "REANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-409-8501",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca R Osborn, LCSW PLLC
• Rebecca Schatz& Associates, Inc.
• Rebecca Wise
• Rebecca Wolf Counseling
• Robert Franklin Rebecca III, LCPC NCC
• Emily Rose Rebholz
• Magdalena Maria Rebisz
• Yuly X Rebollar, MSW, LCSW
• Alexa Grace Rebolledo, CNA
• Jose Irne Rebolledo

• Registered Dietitian in Chicago, IL
• Providers in Chicago, 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 28, 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.