Organization Active NPI

Chloe'S Lifestyle Nutrition

  • Registered Dietitian
  • Champaign, IL
National Provider Identifier
1609696301
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CHLOE'S LIFESTYLE NUTRITION
Practice address
4530 Nicklaus Dr Apt 207
Champaign, IL 61822-1498
Phone
(815) 302-0766
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Chloe M Morrell, RDNPI 1447078258
Title
Dietitian
Phone
(815) 302-0766

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

4530 Nicklaus Dr Apt 207
Champaign, IL 61822-1498

Mailing address

4530 Nicklaus Dr Apt 207
Champaign, IL 61822-1498
Phone (815) 302-0766

National Provider Directory

National Provider Directory

Practitioners & 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": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1609696301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 NICKLAUS DR APT 207",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221498",
            "telephone_number": "815-302-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 NICKLAUS DR APT 207",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221498",
            "telephone_number": "815-302-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHLOE'S LIFESTYLE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "MORRELL",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "815-302-0766",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.