CAMILLA PROVENCHER RDN
NPI 1760347322
Dietitian, Registered in Rockford, IL

Active since December 17, 2025
816 FEATHERSTONE RD, ROCKFORD, IL 61107(815) 227-0081 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Camilla Provencher Rdn NPPES

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

CAMILLA PROVENCHER RDN (NPI 1760347322) is an individual dietitian, registered in Rockford, Illinois and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1760347322
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCAMILLA PROVENCHERCredential: RDN
Location Address816 FEATHERSTONE RDRockford, IL 61107-6300
Mailing Address816 Featherstone RdRockford, IL 61107-6300
Sole ProprietorNo
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
NPI 1760347322 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.

816 FEATHERSTONE RD, Rockford, IL 61107

Other Names 1

Other Name (5)Cami Provencher Rdn

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.

Pharmacist
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Family Medicine
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Pharmacist (Oncology)
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Social Worker
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Social Worker
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Social Worker
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Social Worker
816 FEATHERSTONE RD
ROCKFORD, IL 61107
Counselor (Professional)
816 FEATHERSTONE RD
ROCKFORD, IL 61107

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 Camilla Provencher's NPI number?

The NPI number for Camilla Provencher is 1760347322. It was assigned to this individual provider in the NPPES registry on December 17, 2025. The provider is also known as Cami Provencher Rdn.

Where is Camilla Provencher located?

Camilla Provencher practices at 816 Featherstone Rd, Rockford, IL 61107. The listed phone number is (815) 227-0081.

What is Camilla Provencher'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 Camilla Provencher was last updated on December 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.