Active NPI
Cheryl Cullison, RD LDN
- Registered Dietitian
- Morris, IL
National Provider Identifier
1851761886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164005215
- Practice address
- 150 W High St
Morris, IL 60450-1463 - Phone
- (815) 705-7533
- NPI assigned
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164005215 | IL | Primary |
Addresses
Primary practice location
150 W High St
Morris, IL 60450-1463
Mailing address
150 W High St
Morris, IL 60450-1463
Phone (815) 705-7533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164.005215 | Other | IL | IL LDN LICENSE |
Other names 1
- Cheryl Rozela
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1851761886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W HIGH ST",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501463",
"telephone_number": "815-705-7533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W HIGH ST",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501463",
"telephone_number": "815-705-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLISON",
"first_name": "CHERYL",
"credential": "RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164005215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LDN LICENSE",
"identifier": "164.005215",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "ROZELA",
"credential": "RD LDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Morris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.