Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174934269 Individual Practitioner Female Practitioner

Charlyn K Ware , MS RD LDN

Dietitian, Registered • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Charlyn Ware, MS RD LDN is a registered healthcare professional specializing in Dietitian, Registered in Springfield, IL. Practice services are available at 751 N RUTLEDGE ST STE 1100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

751 N Rutledge St Ste 1100

Springfield, IL 627024968

Telephone 2175458000
Fax 2175454735
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Springfield, IL (2895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-17
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IL 164.001664

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Secondary Practice Locations

2115 S Macarthur Blvd

Springfield, IL 627044501

Phone: 2177261001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 17, 2024

Registered at 751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 627024968 (Tel: 2175458000)

📍
Updated Business Mailing Address January 17, 2024

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175458000)

👤
Provider Name / Credentials Updated January 17, 2024

Recorded as CHARLYN WARE, MS RD LDN

📍
Updated Practice Location February 18, 2020

Registered at 751 N RUTLEDGE ST STE 3100, SPRINGFIELD, IL 627024968 (Tel: 2175458000)

NPI Profile Active May 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2014

Registered at 2115 S MACARTHUR BLVD, SPRINGFIELD, IL 627044501 (Tel: 2177261001)

📍
Updated Business Mailing Address May 12, 2014

Registered at 2115 S MACARTHUR BLVD, SPRINGFIELD, IL 627044501 (Tel: 2177261001)

👤
Provider Name / Credentials Updated May 12, 2014

Recorded as CHARLYN FARGO WARE, MS RD LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2014

Dietitian, Registered (License #164.001664 in IL)

🟢
Initial NPI Registration & Enumeration May 12, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174934269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2014
Last Update: January 17, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175458000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.