EDITH JOY KEMP MS RD LD
NPI 1639945470
Dietitian, Registered in Peoria, IL
About Edith Joy Kemp Ms Rd Ld NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDITH JOY KEMP MS RD LD (NPI 1639945470) is an individual dietitian, registered in Peoria, Illinois, licensed in Illinois (164.008978) and active in the NPI registry since December 2023. She is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edith Joy Kemp Ms Rd Ld is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Edith Kemp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62703
- Reassigned Medicare billing, Illinois enrollment
- 735 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edith Kemp's NPI number?
The NPI number for Edith Kemp is 1639945470. It was assigned to this individual provider in the NPPES registry on December 4, 2023. The provider is also known as Edith Classen.
Where is Edith Kemp located?
Edith Kemp practices at 1001 Main St Ste 300, Peoria, IL 61606. The listed phone number is (309) 495-0200.
What is Edith Kemp's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Edith Kemp enrolled in Medicare?
Yes. Edith Kemp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Edith Kemp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edith Kemp reassigns Medicare benefits to Springfield Clinic, LLP (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edith Kemp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edith Kemp was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Edith Joy Kemp, MS RD LD · NPI 1639945470
Dietitian, Registered provider in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since December 4, 2023.
## Identity
- **NPI:** 1639945470 (Entity type: Individual)
- **Enumerated:** December 4, 2023
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 164.008978 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 MAIN ST STE 300, Peoria, IL 61606-2036
- **Phone:** (309) 495-0200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Springfield Clinic, LLP (NPI 1780638478, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639945470) · Data from the CMS NPPES public registry.