SHELBY HOLT RDN
NPI 1881305274
Dietitian, Registered in Normal, IL

Active since December 07, 2022
1304 FRANKLIN AVE, NORMAL, IL 61761(309) 268-2981 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shelby Holt Rdn NPPES

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

SHELBY HOLT RDN (NPI 1881305274) is an individual dietitian, registered in Normal, Illinois and active in the NPI registry since December 2022. She maintains a secondary practice location in Normal.

NPPES Registry Identity

NPI1881305274
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHELBY HOLTCredential: RDN
Location Address1304 FRANKLIN AVENormal, IL 61761-3558
Mailing Address1304 Franklin AveNormal, IL 61761-3558 · (309) 268-2981
Sole ProprietorNo
Enumeration DateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1881305274 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.
1304 FRANKLIN AVE, Normal, IL 61761

Secondary Practice Location 1

Location 1407 E Vernon AveNormal, IL 61761-3813 · Phone (309) 268-2981

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Holt Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shelby Holt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
2003 W FULTON ST, SUITE 105
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 13 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.

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.

Psychiatry & Neurology (Psychiatry)
1304 FRANKLIN AVE, ADVOCATE BROMENN MEDICAL CENTER
NORMAL, IL 61761
Pathology (Anatomic Pathology & Clinical Pathology)
1304 FRANKLIN AVE
NORMAL, IL 61761
Emergency Medicine
1304 FRANKLIN AVE, EMERGENCY DEPARTMENT
NORMAL, IL 61761
Anesthesiology
1304 FRANKLIN AVE
NORMAL, IL 61761
Nurse Practitioner (Family)
1304 FRANKLIN AVE
NORMAL, IL 61761
Nurse Practitioner (Psychiatric/Mental Health)
1304 FRANKLIN AVE
NORMAL, IL 61761
Nurse Anesthetist, Certified Registered
1304 FRANKLIN AVE
NORMAL, IL 61761
Emergency Medicine
1304 FRANKLIN AVE
NORMAL, IL 61761

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 Shelby Holt's NPI number?

The NPI number for Shelby Holt is 1881305274. It was assigned to this individual provider in the NPPES registry on December 7, 2022.

Where is Shelby Holt located?

Shelby Holt practices at 1304 Franklin Ave, Normal, IL 61761. The listed phone number is (309) 268-2981.

What is Shelby Holt's specialty?

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

Is Shelby Holt enrolled in Medicare?

Yes. Shelby Holt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelby Holt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Holt reassigns Medicare benefits to Dietitians At Home Inc (Chicago, 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 Shelby Holt'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 Shelby Holt was last updated on December 7, 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.