Active NPI
Anna Elizabeth Dufresne, RD, LD
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1083247738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86112623
- Practice address
- 1943 S May St
Chicago, IL 60608-3359 - Phone
- (312) 549-8866
- Fax
- (312) 549-8861
- NPI assigned
- Feb 20, 2020
- Last updated
- Feb 25, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 86112623 | Primary |
Addresses
Primary practice location
1943 S May St
Chicago, IL 60608-3359
Mailing address
1100 E Hawthorne Blvd
Wheaton, IL 60187-3745
Phone (630) 486-7557
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1083247738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E HAWTHORNE BLVD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873745",
"telephone_number": "630-486-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1943 S MAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606083359",
"telephone_number": "312-549-8866",
"fax_number": "312-549-8861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFRESNE",
"first_name": "ANNA",
"middle_name": "ELIZABETH",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86112623",
"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 Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.