Pamela Fagen, REGISTERED DIETITIAN
NPI 1790192698ActiveIndividual· Dietitian, Registered· Des Plaines, IL
Dietitian, Registered (REGISTERED DIETITIAN) in Des Plaines, Illinois, licensed in IL, with an NPI issued in July 2014.
Overview
| NPI | 1790192698 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED DIETITIAN |
| Sole proprietor | Yes |
| NPI issued | Jul 13, 2014 |
| Last updated in NPPES | Jul 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 164003018 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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