Active NPI
Eat Practical LLC
- Registered Dietitian
- Edwardsville, IL
National Provider Identifier
1548748676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.007078
- Legal business name
- EAT PRACTICAL LLC
- Practice address
- 7407 Conner LN
Edwardsville, IL 62025-4669 - Phone
- (913) 314-0145
- NPI assigned
- Jul 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Volling, MS, RD, LDN, CLT
- Title
- Owner/Provider
- Phone
- (913) 314-0145
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.007078 | IL | Primary |
Addresses
Primary practice location
7407 Conner LN
Edwardsville, IL 62025-4669
Mailing address
7407 Conner LN
Edwardsville, IL 62025-4669
Phone (913) 314-0145
Other practice location 1
60 S State Route 157
Edwardsville, IL 62025-3846
Phone (913) 314-0145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532995200000",
"number": "1548748676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7407 CONNER LN",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620254669",
"telephone_number": "913-314-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7407 CONNER LN",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620254669",
"telephone_number": "913-314-0145"
}
],
"practiceLocations": [
{
"address_1": "60 S State Route 157",
"address_purpose": "LOCATION",
"city": "Edwardsville",
"state": "IL",
"postal_code": "620253846",
"country_code": "US",
"telephone_number": "913-314-0145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EAT PRACTICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-31",
"last_updated": "2018-07-31",
"status": "A",
"authorized_official_last_name": "VOLLING",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "913-314-0145",
"authorized_official_credential": "MS, RD, LDN, CLT"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.007078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edwardsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.