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: July 19, 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
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

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics, Critical Care)
420 NE GLEN OAK AVE STE 201
PEORIA, IL 61603
Physician Assistant
420 NE GLEN OAK AVE STE 201
PEORIA, IL 61603
Orthopaedic Surgery
420 NE GLEN OAK AVE STE 201
PEORIA, IL 61603

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255131215, enumerated as an "individual" on March 18, 2025.

The provider is located at 420 NE GLEN OAK AVE STE 201 PEORIA, IL 61603 and the phone number is (309) 624-8130.

Dietitian, Registered with taxonomy code 133V00000X.