ADVANCED NUTRITION CARE, LLC — NPI 1477362648 (Licensed & Credentialed Dietary & Nutritional Service Providers

CMS-1500 Box 24J / 33a • NPI

1477362648

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

133V00000X (CMS 71)

Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered

Box 32 Service Location & ZIP+4

1517 PRAIRIE VISTA DR, CHATHAM, IL, 62629-5095

✓ 9-Digit EDI 837 ZIP+4 (62629-5095)

Practice Phone & Referral Fax

(812) 204-8110

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477362648 (ADVANCED NUTRITION CARE, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477362648` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED NUTRITION CARE, LLC
Plain-English Specialty	Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered NUCC Code: `133V00000X` (Dietitian, Registered)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1517 PRAIRIE VISTA DR, CHATHAM, IL, 62629-5095
Practice Telephone / Fax	Tel: (812) 204-8110
Administrative Mailing Address	1517 PRAIRIE VISTA DR, CHATHAM, IL, 62629-5095
Enumeration & Last Sync	Enumerated: 2025-01-02 \| CMS Record Updated: 2025-01-02
Authorized Official	KATE HORSTMEYER (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1517 PRAIRIE VISTA DR, CHATHAM, IL, 62629-5095

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Plain-English Taxonomy & CMS Crosswalk (133V00000X)

What Does Taxonomy Code 133V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133V00000X translates to:
"Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 71 (Registered Dietitian or Nutrition Professional)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Dietitian, Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED NUTRITION CARE, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED NUTRITION CARE, LLC (NPI #1477362648)