Alexis Marie Banks, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164008873 Issued in IL

Practice address

112 Kansas St
Frankfort, IL 60423-1447

Phone

(630) 450-7295

NPI assigned

Jun 29, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alexis Marie Bielak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1053098244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 VILLAGE GREEN DR APT B2",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045284",
            "telephone_number": "630-450-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KANSAS ST",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231447",
            "telephone_number": "630-450-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164008873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "BIELAK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Baker, MS RD
• Erin Baldauf, IBCLC
• Erika Ball, FNP-C
• Jennifer Lynn Banas, SLP
• Kathleen Bandera, LCSW
• Baobab Healthcare Services, Inc.
• Sarah Barber
• Danielle Barker, NP
• Michelle M Barrera, DDS
• Nicholas Preston Barry, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.