Active NPI
Alison Mary Chaney, R.D., L.D.
- Registered Dietitian
- Lake Saint Louis, MO
National Provider Identifier
1780959288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.011961
- Practice address
- 100 Medical PLZ
Lake Saint Louis, MO 63367-1366 - Phone
- (636) 625-7733
- NPI assigned
- Mar 16, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Collinsville, IL
- NPI 1518531292
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521001672 | IL | Practitioner - Registered Dietitian Or Nutrition Professional | 4587183702 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.011961 | IL | MD | Registered Dietitian |
| 1046638 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biovision Clinical LLC | Dietitian, Registered | Current | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Biovision Diagnostics, LLC | Past | Accepting new patients | |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients |
Locations
1616 Eastport Plaza Dr
Collinsville, IL 62234
Phone (618) 343-0002
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1046638 | MO | |
| Registered Dietitian | 133V00000X | 164.011961 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Mailing address
1243 Clarkson CT
Ellisville, MO 63011-2201
Other practice location 1
1616 Eastport Plaza Dr
Collinsville, IL 62234-6128
Phone (618) 690-9555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2025.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1780959288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 CLARKSON CT",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL PLZ",
"city": "LAKE SAINT LOUIS",
"state": "MO",
"postal_code": "633671366",
"telephone_number": "636-625-7733"
}
],
"practiceLocations": [
{
"address_1": "1616 Eastport Plaza Dr",
"address_purpose": "LOCATION",
"city": "Collinsville",
"state": "IL",
"postal_code": "622346128",
"country_code": "US",
"telephone_number": "618-690-9555",
"fax_number": "618-400-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANEY",
"first_name": "ALISON",
"middle_name": "MARY",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-16",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "1046638",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.011961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.