Active NPI
Luna Nutrition
- Nutritionist
- Marion, IL
National Provider Identifier
1811754385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- LUNA NUTRITION
- Practice address
- 504 Tower Square PLZ Ste 200
Marion, IL 62959-2409 - Phone
- (618) 680-0319
- Fax
- (618) 484-1900
- NPI assigned
- Mar 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Knox, CNS
- Title
- Owner
- Phone
- (615) 579-2435
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
504 Tower Square PLZ Ste 200
Marion, IL 62959-2409
Mailing address
10850 Lincoln Trail
Ste 16, #248
Fairview Heights, IL 62208
Phone (615) 579-2435
National Provider Directory
National Provider DirectoryLocations
10850 Lincoln Trl
Unit 16
Fairview Heights, IL 62208
Phone (615) 579-2435
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutritionist
- Fairview Heights, IL
- NPI 1184481640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1811754385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10850 LINCOLN TRAIL",
"address_2": "STE 16, #248",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "62208",
"telephone_number": "615-579-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 TOWER SQUARE PLZ STE 200",
"city": "MARION",
"state": "IL",
"postal_code": "629592409",
"telephone_number": "618-680-0319",
"fax_number": "618-484-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNA NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-01",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "KNOX",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-579-2435",
"authorized_official_credential": "CNS"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.