MRS. TRACY R ANDERSON MS, RD, LDN
NPI 1639393556
Dietitian, Registered in Peoria, IL

Q: What is Tracy Anderson's NPI number?

The NPI number for Tracy Anderson is 1639393556. It was assigned to this individual provider in the NPPES registry on April 12, 2007. The provider is also known as Ms. Tracy R Gannon Ms, Rd, Ldn.

Q: What is Tracy Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracy Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 12, 2007

221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 672-4240(309) 672-4953 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mrs. Tracy R Anderson Ms, Rd, Ldn NPPES

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

MRS. TRACY R ANDERSON MS, RD, LDN (NPI 1639393556) is an individual dietitian, registered in Peoria, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1639393556

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. TRACY R ANDERSONCredential: MS, RD, LDN

Location Address221 NE GLEN OAK AVEPeoria, IL 61636-0002

Mailing Address323 S 6th StPekin, IL 61554-4221 · (309) 648-9507

Phone(309) 672-4240

Fax(309) 672-4953

Sole ProprietorNo

Enumeration DateApril 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639393556 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.

221 NE GLEN OAK AVE, Peoria, IL 61636

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Other Names 1

Former Name (1)Ms. Tracy R Gannon Ms, Rd, Ldn

Other Providers at the Same Location NPPES 20

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

BRYCE HAMAMOTO

Student in an Organized Health Care Education/Training Program

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5522

RIAZ SHAH MD

Internal Medicine

221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636

Peoria County (309) 672-5729

CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD

Radiology (Radiation Oncology)

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5700

MIHAILO NIKOLIC

Nurse Anesthetist, Certified Registered

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5654

WAQAS ALI MD

Internal Medicine

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5522

ANNE LOOK APN

Nurse Practitioner (Acute Care)

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5522

DR. KENNETH STRUM M.D.

Anesthesiology

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 369-1761

DR. ANDREW BRIAN ARMSTRONG M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-4920

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 Tracy Anderson's NPI number?

The NPI number for Tracy Anderson is 1639393556. It was assigned to this individual provider in the NPPES registry on April 12, 2007. The provider is also known as Ms. Tracy R Gannon Ms, Rd, Ldn.

Where is Tracy Anderson located?

Tracy Anderson practices at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 672-4240.

What is Tracy Anderson'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 Tracy Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.