Active NPI
Melissa Betance, ND, CNS, LDN
- Nutritionist
- Willow Springs, IL
National Provider Identifier
1548989379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 164.008993
- Practice address
- 8695 Archer Ave Ste 5
Willow Springs, IL 60480-1282 - Phone
- (630) 550-7919
- NPI assigned
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 164.008993 | IL | Primary |
Addresses
Primary practice location
8695 Archer Ave Ste 5
Willow Springs, IL 60480-1282
Mailing address
8354 Helen CT
Downers Grove, IL 60516-4910
Phone (630) 550-7919
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.008993 | IL | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1548989379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8354 HELEN CT",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605164910",
"telephone_number": "630-550-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8695 ARCHER AVE STE 5",
"city": "WILLOW SPRINGS",
"state": "IL",
"postal_code": "604801282",
"telephone_number": "630-550-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCE",
"first_name": "MELISSA",
"credential": "ND, CNS, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2025-08-21",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": "164.008993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.