SOUTHERN ILLINOIS NUTRITION SPECIALTIES
NPI 1487700696
Dietitian, Registered in Carbondale, IL

Active since January 28, 2007
1350 CEDAR CT, CARBONDALE, IL 62901(618) 942-7300 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Illinois Nutrition Specialties NPPES

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

SOUTHERN ILLINOIS NUTRITION SPECIALTIES (NPI 1487700696) is a healthcare organization registered as a dietitian, registered in Carbondale, Illinois and active in the NPI registry since January 2007. The organization lists Lori Trentacosti, Owner, as its authorized official.

NPPES Registry Identity

NPI1487700696
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameSOUTHERN ILLINOIS NUTRITION SPECIALTIES
Location Address1350 CEDAR CTCarbondale, IL 62901-5336
Mailing AddressPo Box 3301Carbondale, IL 62902-3301 · (618) 942-7300
Organization SubpartNo
Authorized OfficialLori TrentacostiOwner · (618) 942-7300
Enumeration DateJanuary 28, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1487700696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
1350 CEDAR CT, Carbondale, IL 62901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
1350 CEDAR CT
CARBONDALE, IL 62901
Internal Medicine (Nephrology)
1350 CEDAR CT
CARBONDALE, IL 62901
Nurse Practitioner
1350 CEDAR CT
CARBONDALE, IL 62901
Internal Medicine (Nephrology)
1350 CEDAR CT
CARBONDALE, IL 62901
Physician Assistant (Medical)
1350 CEDAR CT
CARBONDALE, IL 62901
Internal Medicine (Nephrology)
1350 CEDAR CT
CARBONDALE, IL 62901
Nurse Practitioner
1350 CEDAR CT
CARBONDALE, IL 62901
Internal Medicine (Nephrology)
1350 CEDAR CT
CARBONDALE, IL 62901

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 Southern Illinois Nutrition Specialties's NPI number?

The NPI number for Southern Illinois Nutrition Specialties is 1487700696. It was assigned to this organization in the NPPES registry on January 28, 2007.

Where is Southern Illinois Nutrition Specialties located?

Southern Illinois Nutrition Specialties is located at 1350 Cedar Ct, Carbondale, IL 62901. The listed phone number is (618) 942-7300.

What is Southern Illinois Nutrition Specialties'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 Southern Illinois Nutrition Specialties was last updated on August 22, 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.