Mallory Clare Storrs, MBA, RD, LD
NPI 1275151623ActiveIndividual· Dietitian, Registered· Palos Park, IL
Dietitian, Registered (MBA, RD, LD) with Surely Health Inc, practicing in Palos Park, Illinois. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional and practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1275151623 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MBA, RD, LD |
| Sole proprietor | Yes |
| NPI issued | Jul 13, 2020 |
| Last updated in NPPES | Aug 22, 2023 |
| Certified by provider | Aug 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 164005527 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (AR); Practitioner - Registered Dietitian Or Nutrition Professional (AZ); Practitioner - Registered Dietitian Or Nutrition Professional (CO); Practitioner - Registered Dietitian Or Nutrition Professional (DC); Practitioner - Registered Dietitian Or Nutrition Professional (IL); Practitioner - Registered Dietitian Or Nutrition Professional (NJ); Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical group
- Surely Health IncTucson, AZ · 45 clinicians
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