Nicole Davis, MS, RDN, LDN

Individual provider Registered Dietitian · NPI 1871975938

Nicole Davis, MS, RDN, LDN is a Registered Dietitian OR Nutrition Professional in Ozark, Illinois. Qualified in 2013, 13 years ago. Practices with Shawnee Health Service and Development Corp, a 51-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying: 13
Licensed in: IL
In the registry since: 2015

What do these letters mean?

MS — Master of Science: A graduate science degree.
RDN — Registered Dietitian Nutritionist: The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist: A state-licensed dietitian nutritionist.

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Practice location Address checks out

350 Zach Ln
Ozark, IL 62972-1119
Phone: (618) 889-9570

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

1006 S Division St, Carterville, IL 62918-1539 — (618) 519-9200
300 Red Bud Ln, Vienna, IL 62995-1792 — (618) 658-3079

Specialties & licences

Registered Dietitian (primary)	Taxonomy 133V00000X · Licence 164.006153 (IL)

Record details

NPI number	1871975938
Entity type	Individual (Type 1)
Gender	Female
Credentials	MS , RDN , LDN
Sole proprietor	No
NPI enumerated	June 25, 2015
Last updated in NPPES	February 4, 2026
Certification date	February 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical school	OTHER
Graduated	2013 (13 years in practice)
Group practice	Shawnee Health Service And Development Corp — 51 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount