Active NPI
Shalyn Lommen, MS, RDN, LDN
- Registered Dietitian
- Joliet, IL
National Provider Identifier
1023830387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164009248
- Practice address
- 1405 Roosevelt Ave
Joliet, IL 60435-3853 - Phone
- (815) 615-2490
- NPI assigned
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164009248 | IL | Primary |
Addresses
Primary practice location
1405 Roosevelt Ave
Joliet, IL 60435-3853
Mailing address
1405 Roosevelt Ave
Joliet, IL 60435-3853
Phone (815) 615-2490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164009248 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pointe Inc. | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1023830387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 ROOSEVELT AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604353853",
"telephone_number": "815-615-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 ROOSEVELT AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604353853",
"telephone_number": "815-615-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMMEN",
"first_name": "SHALYN",
"name_prefix": "Mrs.",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164009248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.