Annslee Fahy, FCS-DIETETICS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164-006419 Issued in IL

Practice address

1107 College Ave
Quincy, IL 62301-2600

Phone

(217) 223-8400

Fax

(217) 214-5888

NPI assigned

Apr 26, 2018

Last updated

Apr 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Annslee Merkel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1659869444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 COLLEGE AVE",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012600",
            "telephone_number": "217-223-8400",
            "fax_number": "217-214-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 COLLEGE AVE",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012600",
            "telephone_number": "217-223-8400",
            "fax_number": "217-214-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHY",
        "first_name": "ANNSLEE",
        "credential": "FCS-DIETETICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MO",
            "license": "2015002780",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164-006419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNSLEE",
            "last_name": "MERKEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dan H Evans, M.D.
• David Steven Evans, CADC
• Laura A. Evans, PTA
• Regan R Ewert, RN
• Eye MDS of Quincy SC
• Fairview Heights Medical Group SC (Pediatric Cardiology of Illinois)
• Darius Faison
• Family Eyecare and Contact Lens
• Family Eyecare and Contact Lens (Kirk D Kvitle)
• Family Guidance Centers, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.