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

Paige Fullriede, LDN

Individual provider Registered Dietitian · NPI 1548044670

Paige Fullriede, LDN is a Registered Dietitian OR Nutrition Professional in Springfield, Illinois. Qualified in 2023, 3 years ago. Practices with Hshs Medical Group Inc, a 209-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
What do these letters mean?
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

1118 W Legacy Pointe Dr
Springfield, IL 62711-6444
Phone: (217) 787-8870
Fax: (217) 787-6158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164.009255 (IL)

Record details

NPI number1548044670
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDN
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023
Mailing address1118 W Legacy Pointe Dr, Springfield, IL 62711-6444

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hshs Medical Group Inc — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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