IndividualActive
Nicole Davis, MS, RDN, LDN
NPI 1871975938 · Registered Dietitian · Ozark, IL
Provider details
- NPI number
- 1871975938
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 164.006153 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
350 Zach Ln
Ozark, IL 62972-1119
Phone: (618) 889-9570
Street-level locationGet directions
Mailing address
350 Zach Ln
Ozark, IL 62972-1119
Additional practice locations (2)
- 1006 S Division StCarterville, IL 62918-1539Phone: (618) 519-9200Fax: (618) 985-3774
- 300 Red Bud LnVienna, IL 62995-1792Phone: (618) 658-3079Fax: (618) 658-2759
Registry dates
- Enumerated
- 2015-06-25
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.