Jeanne Therese Laird, RDN LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.007610 Issued in IL

Practice address

100 Fitness Dr
Bourbonnais, IL 60914-9584

Phone

(815) 936-6515

Fax

(815) 936-6517

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/58e257bc-e191-4a35-bf38-51c1ed2d9839/

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1003423823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FITNESS DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149584",
            "telephone_number": "815-936-6515",
            "fax_number": "815-936-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FITNESS DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149584",
            "telephone_number": "815-936-6515",
            "fax_number": "815-936-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "JEANNE",
        "middle_name": "THERESE",
        "credential": "RDN LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.007610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina A Kuznetsova, M.D.
• Grazelda Kwakye-Ackah, MD
• Cassandra J Lacher, DO
• Lafayette Med, PLLC
• Heather Nicole Lafond, LPC
• Bartlomiej D Lakomy, DDS
• Kyle William Lamb, LPC
• Sarah E Lamie, L.S.W, MSW
• Judith Landrebe, P.T.
• Morgan Langer, LSW

• Registered Dietitian in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.