MRS. MARILYN BUKOFF PRIDDY


Address: 1617 W Devereux Dr, Peoria, IL 61614-4009
Phone: 3096938128

MRS. MARILYN BUKOFF PRIDDY (NPI# 1285078931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285078931
Entity Type Individual
Full Name MRS. MARILYN BUKOFF PRIDDY
Credential MA, RD, LDN
Practice Address 1617 W Devereux Dr
Peoria
IL 61614-4009
Mailing Address 1617 Devereux Dr
Peoria
IL 61614-4009
Practice Telephone 3096938128
Mailing Telephone 3096938128
Enumeration Date 2013-04-24
Last Update Date 2013-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 164.001446 IL Dietary & Nutritional Service Providers

Office Location

Street Address 1617 W DEVEREUX DR
City PEORIA
State IL
Zip Code 61614-4009

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548818511 Christine Svoboda Social Worker 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 2019-09-03
1639649007 Kathy Karouzos Counseling, LLC Clinic/Center 330 W. Ivy Ln., Peoria, IL 61614 2018-11-28
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1629563937 Mary Elizabeth Cunningham Counselor 6219 N. Eldorado Dr., Peoria, IL 61614 2018-06-28
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
1467994897 Melissa Saxsma Specialist 5009 N Executive Dr, Peoria, IL 61614 2016-11-16
1902258874 Rashid Plastic Surgery, LLC Plastic Surgery 804 W Trailcreek Drive, Peoria, IL 61614 2016-07-05
1215313143 Melissa Lynn Phelan Nurse Practitioner 122 E Morningside Dr, Peoria, IL 61614 2015-08-03
1811380165 All Ways Caring Services, Inc. In Home Supportive Care 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 2015-03-11
1568875920 Schuler & Arkwell Orthodontic Partnership Dentist 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 2014-06-03
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255950366 Colleen Hamilton Dietitian, Registered 1109 W Sleepy Hollow Ct, Peoria, IL 61615-1101 2020-04-09
1518328665 Jenna Bishop Dietitian, Registered 600 Ne Water Street, Peoria, IL 61637 2016-03-17
1437524022 Brooke Bisping Dietitian, Registered 7610 North Orange Prairie Road, Peoria, IL 61615 2015-12-08
1003292111 Crystal Ann Casper Dietitian, Registered 7610 N Orange Prarie Road, Peoria, IL 61615 2015-07-31
1437536984 Ashley Thomas Dietitian, Registered 1609 W Moss Ave, Peoria, IL 61606-1642 2015-05-05
1205228558 Ana Cristina Schallhorn Dietitian, Registered 4813 N Glen Ct, Peoria, IL 61614-4644 2015-02-24
1164844262 Kelsey Knott Dietitian, Registered 4125 N Sheridan Rd Ste 20, Peoria, IL 61614-7174 2014-01-09
1992061998 Mayuri Rangdal Dietitian, Registered 2640 W Stonehenge Ct, Peoria, IL 61615-7477 2012-04-04
1851692123 Lauren Ashley Rusk Dietitian, Registered 9900 N Dalea Ln, 9212, Peoria, IL 61615-7268 2010-11-03
1437313152 Jacque Lynn Sutton Dietitian, Registered 6701 W Plank Rd, Peoria, IL 61604-5242 2008-07-11
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City PEORIA
Zip Code 61614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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