AMY CARSON RD
NPI 1033597323
Dietitian, Registered in Oak Park, IL

Active since May 07, 2015Opted out of Medicare · through Oct 3, 2027
1114 LAKE ST, OAK PARK, IL 60301(708) 383-1114 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amy Carson Rd NPPES

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

AMY CARSON RD (NPI 1033597323) is an individual dietitian, registered in Oak Park, Illinois, licensed in Illinois (164006342) and active in the NPI registry since May 2015. She has opted out of Medicare through October 3, 2027.

NPPES Registry Identity

NPI1033597323
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMY CARSONCredential: RD
Location Address1114 LAKE STOak Park, IL 60301-1002
Mailing Address1114 Lake StOak Park, IL 60301-1002 · (708) 383-1114
Sole ProprietorNo
Enumeration DateMay 7, 2015
Last NPPES UpdateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
NPI 1033597323 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 · 164006342
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.
1114 LAKE ST, Oak Park, IL 60301

Other Names 1

Former Name (1)Amy Ruth Silver Rd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Amy Carson Rd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 3, 2025 through October 3, 2027.

Opt-Out Effective DateOctober 3, 2025
Opt-Out In Effect ThroughOctober 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Physical Therapist
1114 LAKE ST
OAK PARK, IL 60301
Dietitian, Registered
1114 LAKE ST
OAK PARK, IL 60301
Clinic/Center (Physical Therapy)
1114 LAKE ST
OAK PARK, IL 60301
Clinic/Center (Rehabilitation)
1114 LAKE ST
OAK PARK, IL 60301

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 Amy Carson's NPI number?

The NPI number for Amy Carson is 1033597323. It was assigned to this individual provider in the NPPES registry on May 7, 2015. The provider is also known as Amy Ruth Silver Rd.

Where is Amy Carson located?

Amy Carson practices at 1114 Lake St, Oak Park, IL 60301. The listed phone number is (708) 383-1114.

What is Amy Carson's specialty?

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

Is Amy Carson enrolled in Medicare?

No. Amy Carson has opted out of Medicare through October 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amy Carson was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.