Active NPI
Jamie J Weyant, MS RD LDN
- Registered Dietitian
- Monmouth, IL
National Provider Identifier
1467448076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164003723
- Practice address
- 1000 W Harlem Ave
Monmouth, IL 61462-1007 - Phone
- (309) 734-3141
- Fax
- (309) 734-3029
- NPI assigned
- Sep 20, 2005
- Last updated
- Mar 14, 2013
- 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 | 164003723 | IL | Primary |
Addresses
Primary practice location
1000 W Harlem Ave
Monmouth, IL 61462-1007
Mailing address
1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164003723 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1467448076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W HARLEM AVE",
"city": "MONMOUTH",
"state": "IL",
"postal_code": "614621007",
"telephone_number": "309-734-3141",
"fax_number": "309-734-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W HARLEM AVE",
"city": "MONMOUTH",
"state": "IL",
"postal_code": "614621007",
"telephone_number": "309-734-3141",
"fax_number": "309-734-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEYANT",
"first_name": "JAMIE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MS RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164003723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monmouth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.