Stride Nutrition and Lifestyle Services LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

STRIDE NUTRITION AND LIFESTYLE SERVICES LLC

Practice address

2203 W Jefferson St Ste a
Vandalia, IL 62471-1465

Phone

(618) 267-3012

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Joleen E Murray, MS, RDN, LDNNPI 1720663610

Title

Registered Dietitian Nutritionist

Phone

(618) 267-3012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joleen Elizabeth Murray, RDN

  • Registered Dietitian
  • Vandalia, IL
  • NPI 1720663610

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1649989005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 IL 185",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624713437",
            "telephone_number": "618-267-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W JEFFERSON ST STE A",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711465",
            "telephone_number": "618-267-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE NUTRITION AND LIFESTYLE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JOLEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "618-267-3012",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Illinois Healthcare Foundation, Inc.
• Lucinda M Spencer, APRN, FNP-C
• St. Mary'S Hospital
• Stay Home Caregivers, LLC
• Chad E Storck, D.C.
• Ten Broeck Tennessee Physicians Group Inc
• Tepperberg Chiropractic Center
• The Brightside of Behavior
• The Elephant'S Attic, Inc.
• Darryl Paul Tjaden

• Registered Dietitian in Vandalia, IL
• Providers in Vandalia, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.

Verify at the official NPI Registry.