Active NPI
The Inclusive Dietitian
- Registered Dietitian
- Darien, IL
National Provider Identifier
1083483812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- THE INCLUSIVE DIETITIAN
- Practice address
- 8420 Evergreen LN
Darien, IL 60561-8400 - Phone
- (864) 838-1517
- NPI assigned
- Dec 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amna Haq, MS
- Title
- Rd
- Phone
- (864) 838-1517
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
8420 Evergreen LN
Darien, IL 60561-8400
Mailing address
8420 Evergreen LN
Darien, IL 60561-8400
Phone (864) 838-1517
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1083483812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 EVERGREEN LN",
"city": "DARIEN",
"state": "IL",
"postal_code": "605618400",
"telephone_number": "864-838-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8420 EVERGREEN LN",
"city": "DARIEN",
"state": "IL",
"postal_code": "605618400",
"telephone_number": "864-838-1517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE INCLUSIVE DIETITIAN",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A",
"authorized_official_last_name": "HAQ",
"authorized_official_first_name": "AMNA",
"authorized_official_title_or_position": "RD",
"authorized_official_telephone_number": "864-838-1517",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.