Active NPI
Claire Bruno, RD
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1063165124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164007898
- Practice address
- 150 E Huron St FL 13
Chicago, IL 60611-2999 - Phone
- (312) 858-5411
- NPI assigned
- Jan 30, 2022
- 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 | 164007898 | IL | Primary |
Addresses
Primary practice location
150 E Huron St FL 13
Chicago, IL 60611-2999
Mailing address
1640 N Leavitt St Apt 3
Chicago, IL 60647-5688
Phone (773) 612-0867
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164007898 | Other | IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
| 86156698 | Other | IL | COMMISSION ON DIETETIC REGISTRATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164007898 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1643500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643500800000",
"number": "1063165124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 N LEAVITT ST APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475688",
"telephone_number": "773-612-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E HURON ST FL 13",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112999",
"telephone_number": "312-858-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "CLAIRE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-30",
"last_updated": "2022-01-30",
"certification_date": "2022-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164007898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
"identifier": "164007898",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86156698",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.