Individual provider Active NPI

Margaret Sera, MS, RDN, LDN, CNSC

  • Registered Dietitian
  • Orland Park, IL
National Provider Identifier
1780401315
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.008811 Issued in IL
Practice address
15651 Garden View CT Apt 3D
Orland Park, IL 60462-3082
Phone
(708) 846-3180
NPI assigned
Sep 24, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.008811 IL Primary

Addresses

Primary practice location

15651 Garden View CT Apt 3D
Orland Park, IL 60462-3082

Mailing address

15651 Garden View CT Apt 3D
Orland Park, IL 60462-3082
Phone (708) 846-3180

Other names 1

  • Maggie Sera Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010000908 IL Practitioner - Registered Dietitian Or Nutrition Professional 9931606316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Rush Medical College of Rush University, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6521 Charleston St
Oak Forest, IL 60452-2626

9000 W College Pkwy
Palos Hills, IL 60465-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
164.008811ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Devine Nutrition Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

7224 W College Dr
Palos Heights, IL 60463
Phone (708) 608-9014

9000 W College Pkwy
Bldg H
Palos Hills, IL 60465
Phone (708) 608-4323

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1780401315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15651 GARDEN VIEW CT APT 3D",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623082",
            "telephone_number": "708-846-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 GARDEN VIEW CT APT 3D",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623082",
            "telephone_number": "708-846-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERA",
        "first_name": "MARGARET",
        "credential": "MS, RDN, LDN, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.008811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "SERA",
            "credential": "MS, RDN, LDN, CNSC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.