Individual provider Active NPI

Brett Curtiss, R.D., L.D.N.

  • Renal Nutrition Registered Dietitian
  • Chicago, IL
National Provider Identifier
1073904488
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
164.005998 Issued in IL
Practice address
1101 S Canal St
Chicago, IL 60607-4901
Phone
(630) 854-8476
Fax
(312) 360-1013
NPI assigned
Feb 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.005998 IL
Renal Nutrition Registered Dietitian 133VN1005X 164.005998 IL Primary

Addresses

Primary practice location

1101 S Canal St
Chicago, IL 60607-4901

Mailing address

2923 White Thorn Cir
Naperville, IL 60564-4928
Phone (630) 854-8476

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.005998ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
PHC of Buffalo Grove Clinical Psychology 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": "1423353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1073904488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 WHITE THORN CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644928",
            "telephone_number": "630-854-8476",
            "fax_number": "312-360-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CANAL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074901",
            "telephone_number": "630-854-8476",
            "fax_number": "312-360-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTISS",
        "first_name": "BRETT",
        "credential": "R.D., L.D.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-08",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005998",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IL",
            "license": "164.005998",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 9, 2018; 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.