Active NPI
Awakened Actions, LLC.
- Registered Dietitian
- Shumway, IL
National Provider Identifier
1811830896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- AWAKENED ACTIONS, LLC.
- Practice address
- 16381 N 850TH St
Shumway, IL 62461-2317 - Phone
- (217) 821-1319
- Fax
- (855) 410-5498
- NPI assigned
- Apr 13, 2026
- Last updated
- Apr 13, 2026
- 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
- Ashley Bradshaw, MS, RDN, LDN
- Title
- Owner, Lead Registered Dietitian
- Phone
- (217) 821-1319
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
16381 N 850TH St
Shumway, IL 62461-2317
Mailing address
16381 N 850TH St
Shumway, IL 62461-2317
Phone (217) 821-1319
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Shumway, IL
- NPI 1265860274
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1811830896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16381 N 850TH ST",
"city": "SHUMWAY",
"state": "IL",
"postal_code": "624612317",
"telephone_number": "217-821-1319",
"fax_number": "855-410-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16381 N 850TH ST",
"city": "SHUMWAY",
"state": "IL",
"postal_code": "624612317",
"telephone_number": "217-821-1319",
"fax_number": "855-410-5498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AWAKENED ACTIONS, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "BRADSHAW",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER, LEAD REGISTERED DIETITIAN",
"authorized_official_telephone_number": "217-821-1319",
"authorized_official_credential": "MS, RDN, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shumway, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.