Active NPI
Rebecca Li
- Registered Dietitian
- Urbana, IL
National Provider Identifier
1629869920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164011658
- Practice address
- 1400 W Park St
Urbana, IL 61801-2334 - Phone
- (217) 337-4520
- NPI assigned
- May 15, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86293098 | ||
| Registered Dietitian | 133V00000X | 164011658 | IL | Primary |
Addresses
Primary practice location
1400 W Park St
Urbana, IL 61801-2334
Mailing address
1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-4520
Other practice location 1
812 N Logan Ave
Danville, IL 61832-3752
Phone (217) 337-4520
Other practice location 2
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1629869920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012334",
"telephone_number": "217-337-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012334",
"telephone_number": "217-337-4520"
}
],
"practiceLocations": [
{
"address_1": "812 N Logan Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "IL",
"postal_code": "618323752",
"country_code": "US",
"telephone_number": "217-337-4520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-15",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86293098",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164011658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.