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JAMIE HENDRICKSON MS, RDN, LDN
NPI 1255131215
Dietitian, Registered in Peoria, IL

Active since March 18, 2025
420 NE GLEN OAK AVE STE 201, PEORIA, IL 61603(309) 624-8130 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jamie Hendrickson Ms, Rdn, Ldn NPPES

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

JAMIE HENDRICKSON MS, RDN, LDN (NPI 1255131215) is an individual dietitian, registered in Peoria, Illinois, licensed in Illinois (164011857) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1255131215
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJAMIE HENDRICKSONCredential: MS, RDN, LDN
Location Address420 NE GLEN OAK AVE STE 201Peoria, IL 61603-3112
Mailing Address420 Ne Glen Oak Ave Ste 201Peoria, IL 61603-3112
Phone(309) 624-8130
Sole ProprietorNo
Enumeration DateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
✔ NPI 1255131215 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 · 164011857
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.
420 NE GLEN OAK AVE STE 201, Peoria, IL 61603
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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.

JOHN PAUL LIVINGSTONE MD
Orthopaedic Surgery
420 NE GLEN OAK AVE STE 201
PEORIA, IL 61603
Peoria County (309) 655-3800
EYAD MICHAEL HANNA MD
Pediatrics (Pediatric Gastroenterology)
420 NE GLEN OAK AVE STE 201
PEORIA, IL 61603
Peoria County (309) 624-2277
RACHEL LEE PA-C
Physician Assistant
420 NE GLEN OAK AVE STE 201
PEORIA, IL 61603
Peoria County (309) 655-2343

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 Jamie Hendrickson's NPI number?

The NPI number for Jamie Hendrickson is 1255131215. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Jamie Hendrickson located?

Jamie Hendrickson practices at 420 NE Glen Oak Ave Ste 201, Peoria, IL 61603. The listed phone number is (309) 624-8130.

What is Jamie Hendrickson'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 Jamie Hendrickson was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.