Karen S Mischler, MS, RD, CLC, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164003819 Issued in IL

Practice address

420 NE Glen Oak Ave Ste 301
Peoria, IL 61603-3169

Phone

(309) 655-3453

Fax

(309) 655-3410

NPI assigned

Jul 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1487132874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 301",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033169",
            "telephone_number": "309-655-3453",
            "fax_number": "309-655-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 301",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033169",
            "telephone_number": "309-655-3453",
            "fax_number": "309-655-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHLER",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "MS, RD, CLC, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164003819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Minesinger, RPH
• Megan Elizabeth Mink, PT, DPT
• Derek Minor, MD
• Mario Miranda, DO
• Miriam Geiger PLLC
• Matthew Joseph Mischler, M.D.
• Angela Mitchell, MS CCC-SLP
• Briana R. Mitchell, APN
• Craig S Mitchell, DO
• Daniel S Mitchell, MD

• Registered Dietitian in Peoria, IL
• Providers in Peoria, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.