IndividualActive
Amanda Reilson, RD, LDN
NPI 1003067422 · Registered Dietitian · Maryville, IL
Provider details
- NPI number
- 1003067422
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 164004969 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6800 State Route 162
Maryville, IL 62062-8500
Phone: (618) 391-5528
Fax: (618) 288-3638
Street-level locationGet directions
Mailing address
1813 Marine Rd
Saint Jacob, IL 62281-1243
Registry dates
- Enumerated
- 2008-10-03
- Last updated
- 2009-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.