GRACE ELIZABETH HENSOLD (NPI# 1841764362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841764362 |
| Entity Type | Individual |
| Full Name | GRACE ELIZABETH HENSOLD |
| Credential | RDN, LDN |
| Practice Address |
8940 N Wood Sage Rd Peoria IL 61615-7822 |
| Practice Telephone | 3092433464 |
| Mailing Telephone | 3092433464 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164007298 | IL | Dietary & Nutritional Service Providers |
| Street Address |
8940 N WOOD SAGE RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522486 | Nguyet A Le-lindqwister | Internal Medicine | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2005-07-19 |
| 1548899834 | Kari A Breckenridge | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2020-04-07 |
| 1295364826 | Jessica Lemmerman | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2020-04-06 |
| 1992330583 | Heather R Pierce | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2020-03-04 |
| 1730713546 | Kim M Scott | Clinical Nurse Specialist | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2020-03-02 |
| 1609411743 | Holly Jo Delinski | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2019-11-13 |
| 1649825514 | Lindsey Lorraine Grys | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2019-08-07 |
| 1336706845 | Jennifer Mendaluk | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2019-05-21 |
| 1750843199 | Elizabeth M Berryman | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2019-04-04 |
| 1477010031 | Cynthia Salazar | Nurse Practitioner | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2019-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 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 |
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| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| 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 |
| 1285078931 | Marilyn Bukoff Priddy | Dietitian, Registered | 1617 W Devereux Dr, Peoria, IL 61614-4009 | 2013-04-24 |
| 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 |
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| 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.