MS. PAMELA J NICHOLSON RD, LDN
NPI 1033574967
Dietitian, Registered in Belleville, IL

Active since December 18, 2015
4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 257-4377(618) 257-6616 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Pamela J Nicholson Rd, Ldn NPPES

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

MS. PAMELA J NICHOLSON RD, LDN (NPI 1033574967) is an individual dietitian, registered in Belleville, Illinois, licensed in Illinois (164.000914) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1033574967
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. PAMELA J NICHOLSONCredential: RD, LDN
Location Address4500 MEMORIAL DRBelleville, IL 62226-5360
Mailing Address1 Elmbank DrBelleville, IL 62226-4924 · (618) 401-5361 · Fax (618) 257-6616
Fax(618) 257-6616
Sole ProprietorYes
Enumeration DateDecember 18, 2015
NPI 1033574967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in IL · 164.000914
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4500 MEMORIAL DR, Belleville, IL 62226

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
Internal Medicine
4500 MEMORIAL DR
BELLEVILLE, IL 62226

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 Pamela Nicholson's NPI number?

The NPI number for Pamela Nicholson is 1033574967. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Where is Pamela Nicholson located?

Pamela Nicholson practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 257-4377.

What is Pamela Nicholson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Pamela Nicholson was last updated on December 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.