Active NPI
Patricia Kaufman, LDN
- Nutritionist
- Winnetka, IL
National Provider Identifier
1083170013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 164007643
- Practice address
- 45 Warwick Rd
Winnetka, IL 60093-4256 - Phone
- (847) 340-9075
- NPI assigned
- Feb 14, 2019
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 164007643 | IL | Primary |
Addresses
Primary practice location
45 Warwick Rd
Winnetka, IL 60093-4256
Mailing address
45 Warwick Rd
Winnetka, IL 60093-4256
Phone (847) 340-9075
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 |
|---|---|---|---|
| 164007643 | IL | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1083170013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 WARWICK RD",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600934256",
"telephone_number": "847-340-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 WARWICK RD",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600934256",
"telephone_number": "847-340-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "PATRICIA",
"credential": "LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-14",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "IL",
"license": "164007643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.