Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HOLLY NIEMANN
NPI 1023915303
Dietetic Technician, Registered in Mascoutah, IL

Active since October 21, 2026
615 N LEBANON ST, MASCOUTAH, IL 62258(618) 803-8585 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Holly Niemann NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY NIEMANN (NPI 1023915303) is an individual dietetic technician, registered in Mascoutah, Illinois and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1023915303
Entity TypeIndividualFemale
Primary Taxonomy136A00000X
Provider Legal NameHOLLY NIEMANN
Location Address615 N LEBANON STMascoutah, IL 62258-1448
Mailing Address615 N Lebanon StMascoutah, IL 62258-1448
Sole ProprietorNo
Enumeration DateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1023915303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietetic Technician, RegisteredDietary & Nutritional Service Providers
Taxonomy Code136A00000X
Definition
A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care.
615 N LEBANON ST, Mascoutah, IL 62258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Niemann's NPI number?

The NPI number for Holly Niemann is 1023915303. It was assigned to this individual provider in the NPPES registry on October 21, 2026.

Where is Holly Niemann located?

Holly Niemann practices at 615 N Lebanon St, Mascoutah, IL 62258. The listed phone number is (618) 803-8585.

What is Holly Niemann's specialty?

The primary specialty registered for this NPI is Dietetic Technician, Registered with taxonomy code 136A00000X.

When was this NPI record last updated?

The NPPES record for Holly Niemann was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.