Elayna Fehr, MS, RDN, LDN, CLC
Dietitian, Registered in Bloomington, IL. Individual provider (NPI-1).
NPI number1336769181
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1336769181
- Entity type
- Individual (NPI-1)
- Name
- Elayna Fehr
- Credential
- MS, RDN, LDN, CLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.007971 | IL | Yes |
Practice location
207 E Hamilton RdBloomington, IL 61704-7527
Phone 209-827-4090
Mailing address
411 N West StTremont, IL 61568-8508
Phone 309-620-6854
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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