NICOLE SUZANNE KERN RD, LDN
NPI 1063906329
Dietitian, Registered in Moline, IL

Active since June 20, 2018
750 42ND AVENUE DR, MOLINE, IL 61265(309) 757-1085 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Suzanne Kern Rd, Ldn NPPES

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

NICOLE SUZANNE KERN RD, LDN (NPI 1063906329) is an individual dietitian, registered in Moline, Illinois, licensed in Illinois (164.007411) and active in the NPI registry since June 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063906329
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE SUZANNE KERNCredential: RD, LDN
Location Address750 42ND AVENUE DRMoline, IL 61265-6893
Mailing Address750 42nd Avenue DrMoline, IL 61265-6893 · (309) 757-1085
Sole ProprietorNo
Enumeration DateJune 20, 2018
NPI 1063906329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in IL · 164.007411 Licensed in IA · 091659
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.
750 42ND AVENUE DR, Moline, IL 61265

Secondary Practice Locations 2

Location 12001 5th StSilvis, IL 61282-2903 · Phone (309) 792-1507
Location 24218 Avenue Of The CitiesMoline, IL 61265-4544 · Phone (309) 762-0200

Other Providers at the Same Location NPPES 3

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

Pharmacist
750 42ND AVENUE DR
MOLINE, IL 61265
Dietitian, Registered
750 42ND AVENUE DR
MOLINE, IL 61265
Pharmacist
750 42ND AVENUE DR
MOLINE, IL 61265

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 Nicole Kern's NPI number?

The NPI number for Nicole Kern is 1063906329. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Nicole Kern located?

Nicole Kern practices at 750 42nd Avenue Dr, Moline, IL 61265. The listed phone number is (309) 757-1085.

What is Nicole Kern'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 Nicole Kern was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.