Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Micah Jayne Henderson, RD, LDN

Individual provider Registered Dietitian · NPI 1851107676

Micah Jayne Henderson, RD, LDN is a Registered Dietitian in Peoria, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

719 N William Kumpf Blvd Ste 300
Peoria, IL 61605-2531
Phone: (309) 495-4530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1851107676
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LDN
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

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