STRIDE NUTRITION AND LIFESTYLE SERVICES LLC
NPI 1649989005
Dietitian, Registered in Vandalia, IL

Q: What is Stride Nutrition And Lifestyle Services LLC's specialty?

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

Active since November 15, 2022

2203 W JEFFERSON ST STE A, VANDALIA, IL 62471(618) 267-3012 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Stride Nutrition And Lifestyle Services Llc NPPES

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

STRIDE NUTRITION AND LIFESTYLE SERVICES LLC (NPI 1649989005) is a healthcare organization registered as a dietitian, registered in Vandalia, Illinois and active in the NPI registry since November 2022. The organization lists Joleen E Murray, Registered Dietitian Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1649989005

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameSTRIDE NUTRITION AND LIFESTYLE SERVICES LLC

Location Address2203 W JEFFERSON ST STE AVandalia, IL 62471-1465

Mailing Address427 Il 185Vandalia, IL 62471-3437 · (618) 267-3012

Phone(618) 267-3012

Organization SubpartNo

Authorized OfficialJoleen E MurrayRegistered Dietitian Nutritionist · (618) 267-3012

Enumeration DateNovember 15, 2022

NPPES CertifiedNovember 15, 2022

✔ NPI 1649989005 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.

2203 W JEFFERSON ST STE A, Vandalia, IL 62471

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stride Nutrition And Lifestyle Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stride Nutrition And Lifestyle Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joleen Murray, RDN

Registered Dietitian or Nutrition Professional

NPI 1720663610

427 IL 185
Vandalia, IL 62471

(618) 267-3012

1.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stride Nutrition And Lifestyle Services LLC's NPI number?

The NPI number for Stride Nutrition And Lifestyle Services LLC is 1649989005. It was assigned to this organization in the NPPES registry on November 15, 2022.

Where is Stride Nutrition And Lifestyle Services LLC located?

Stride Nutrition And Lifestyle Services LLC is located at 2203 W Jefferson St Ste A, Vandalia, IL 62471. The listed phone number is (618) 267-3012.

What is Stride Nutrition And Lifestyle Services LLC's specialty?

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

Is Stride Nutrition And Lifestyle Services LLC enrolled in Medicare?

Yes. Stride Nutrition And Lifestyle Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stride Nutrition And Lifestyle Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Stride Nutrition And Lifestyle Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stride Nutrition And Lifestyle Services LLC was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.