Diane Kay Schrader, RD

Key facts

NPI

1891963336

Entity type

Individual (NPI type 1)

Primary specialty

Registered Dietitian 133V00000X

Practice address

2770 E 800TH St
Mendon, IL 62351-2617

Phone

(217) 242-1746

NPI assigned

Feb 19, 2008

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 21, 2012.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1891963336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 E 800TH ST",
            "city": "MENDON",
            "state": "IL",
            "postal_code": "623512617",
            "telephone_number": "217-242-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 E 800TH ST",
            "city": "MENDON",
            "state": "IL",
            "postal_code": "623512617",
            "telephone_number": "217-242-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "DIANE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendon, IL

• Dana R. Knox, PMHNP
• Mendon Comm Unit School Dist 4
• North Adams Home Inc
• Nicole Andrea Schaffnit, MS CCC-SLP
• Debra Sue Tallcott, PT
• Addison Grace Zanger, M.S., CCC-SLP

All providers in Mendon, IL · Registered Dietitian in Illinois