Nutrastead & Co
NPI 1104497189 · Registered Dietitian · Dewitt, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nutrastead & Co is a Registered Dietitian organization in Dewitt, IL (NPI 1104497189).
Provider details
- NPI number
- 1104497189
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Moriah Gramm, Registered Dietitian(217) 520-3209
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-07-09
- Last updated
- 2021-07-09
- Certified
- 2021-07-09
Frequently asked questions
- What is Nutrastead & Co's NPI number?
- Nutrastead & Co's National Provider Identifier (NPI) is 1104497189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nutrastead & Co?
- Nutrastead & Co is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Nutrastead & Co located?
- Nutrastead & Co's practice location on file with NPPES is 12764 Solomon Rd, Dewitt, IL 61735-9448.
- What is Nutrastead & Co's phone number?
- The practice phone number listed in the NPPES registry for Nutrastead & Co is (217) 520-3209.
- Does Nutrastead & Co accept Medicare?
- Nutrastead & Co is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nutrastead & Co?
- The authorized official listed on Nutrastead & Co's NPPES record is Moriah Gramm, Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nutrastead & Co's NPI active?
- Yes — Nutrastead & Co's NPI (1104497189) is active in the NPPES registry as of the last update on 2021-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.