Individual provider Active NPI

Alison Mary Chaney, R.D., L.D.

  • Registered Dietitian
  • Lake Saint Louis, MO
National Provider Identifier
1780959288
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.011961 Issued in IL
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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
164.011961ILMDRegistered Dietitian
1046638MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Biovision Clinical LLC Dietitian, Registered CurrentSince May 14, 2025 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)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1046638 MO
Registered Dietitian 133V00000X 164.011961 IL Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.