Holly Olivio, MS, RDN, LDN, CNSC
Individual provider Active NPI Registered Dietitian · Moweaqua, IL
NPI 1508613332 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1508613332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164007162 (IL)
- Practice address
- 337 N Hanover St
Moweaqua, IL 62550-1025 - Phone
- (217) 820-9380
- NPI assigned
- Apr 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164007162 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164007162 | IL | Yes |
Addresses
Primary practice location
337 N Hanover St
Moweaqua, IL 62550-1025
Mailing address
337 N Hanover St
Moweaqua, IL 62550-1025
Phone (217) 820-9380
Other practice location 1
3724 Jefferson St Ste 104
Austin, TX 78731-6204
Phone (512) 692-7045
Other providers in Moweaqua, IL
- Messamore Family Chiropractic LTD
- Moweaqua Community Ambulance Service
- Moweaqua Family Practice Center, LTD
- Moweaqua Pharmacy PC
- Moweaqua Rehabilitation & Health Care Center, LLC
- Larry Don Page
- Sloan Jane Sloan
- Springfield Clinic LLP
- Springfield Clinic LLP
All providers in Moweaqua, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.