Mrs Jennifer Caudell, - Dietitian in Belleville, IL

Mrs Jennifer Caudell, is a Dietitian, Registered based in Belleville, Illinois. Mrs Jennifer Caudell is licensed to practice in Illinois (license number 164.005094) and her current practice location is 2271 Haverford Dr, Belleville, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 310-3639.

NPI number for Mrs Jennifer Caudell is 1356663090 and her current mailing address is 2271 Haverford Dr, Belleville, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356663090.

Contact Information

Mrs Jennifer Caudell,
2271 Haverford Dr,
Belleville, IL 62221-7994
(618) 310-3639
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jennifer Caudell
GenderFemale
SpecialityDietitian, Registered
Location2271 Haverford Dr, Belleville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356663090
  • Provider Enumeration Date: 02/22/2010
  • Last Update Date: 02/22/2010

Medical Identifiers

Medical identifiers for Mrs Jennifer Caudell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356663090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 164.005094 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Caudell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jennifer Caudell,
2271 Haverford Dr,
Belleville, IL 62221-7994

Ph: (618) 310-3639
Mrs Jennifer Caudell,
2271 Haverford Dr,
Belleville, IL 62221-7994

Ph: (618) 310-3639

Reviews and Comments


Dietitian, Registered in Belleville, IL

Ms. Pamela J Nicholson, RD, LDN
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