NPI 1811830896 · live from the CMS NPI Registry
Awakened Actions, LLC.
Dietitian, Registered in Shumway, IL. National Provider Identifier 1811830896, active.
NPI record
| NPI | 1811830896 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 16381 N 850th St, Shumway, IL 62461 |
| Practice phone | 217-821-1319 |
| Enumerated | April 13, 2026 |
| Last updated | April 13, 2026 |
| Authorized official | Ashley Bradshaw, Owner, Lead Registered Dietitian |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.