Active NPI
Mary Ellen McInerney, RD
- Registered Dietitian
- Geneva, IL
National Provider Identifier
1841060589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164005493
- Practice address
- 431 Wakefield LN
Geneva, IL 60134-1006 - Phone
- (314) 550-3727
- NPI assigned
- Jan 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | LD007886 | GA | |
| Registered Dietitian | 133V00000X | 164005493 | IL | Primary |
Addresses
Primary practice location
431 Wakefield LN
Geneva, IL 60134-1006
Mailing address
431 Wakefield LN
Geneva, IL 60134-1006
Phone (314) 550-3727
Other practice location 1
1800 Phoenix Blvd
Suite 128-12 PMB 1532
Atlanta, GA 30349-5593
Phone (844) 359-8363
Other practice location 2
1001 Fischer Blvd
Ste 3 PMB 1048
Toms River, NJ 08753
Phone (844) 359-8363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
431 Wakefield LN
Geneva, IL 60134-1006
9450 SW Gemini Dr
Beaverton, OR 97008-7105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164005493 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strategic Nutrition | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1841060589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 WAKEFIELD LN",
"city": "GENEVA",
"state": "IL",
"postal_code": "601341006",
"telephone_number": "314-550-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 WAKEFIELD LN",
"city": "GENEVA",
"state": "IL",
"postal_code": "601341006",
"telephone_number": "314-550-3727"
}
],
"practiceLocations": [
{
"address_1": "1800 Phoenix Blvd",
"address_2": "Suite 128-12 PMB 1532",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303495593",
"country_code": "US",
"telephone_number": "844-359-8363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Fischer Blvd",
"address_2": "Ste 3 PMB 1048",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "08753",
"country_code": "US",
"telephone_number": "844-359-8363",
"fax_number": "833-929-3520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINERNEY",
"first_name": "MARY",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-04",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "GA",
"license": "LD007886",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164005493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.