Clayton Joseph Meyer, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164007803 Issued in IL

Practice address

1943 S May St # 1F
Chicago, IL 60608-3359

Phone

(312) 549-8866

NPI assigned

Sep 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1811548183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 S MAY ST # 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083359",
            "telephone_number": "312-549-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 S MAY ST # 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083359",
            "telephone_number": "312-549-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CLAYTON",
        "middle_name": "JOSEPH",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164007803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164007803",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmeyer@prohealthprevention.com",
            "affiliation": "N",
            "endpointDescription": "cmeyer@prohealthprevention.com",
            "address_1": "1943 S May St # 1F",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606083359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Meyer Klarich, LCPC
• Andria Meyer, DO
• Barbara E Meyer, PHD
• Benjamin Joachim Meyer, MD
• Catherine Meyer, MD
• Courtnye Ann Meyer
• Dianne H Meyer, PH.D.
• Hannah Meyer, PT, DPT
• Jaclyn Meyer, MD
• Jacob Mathew Meyer, M.D.

• Registered Dietitian in Chicago, IL
• Providers in Chicago, 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 2, 2020; 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.