Organization Active NPI

The Inclusive Dietitian

  • Registered Dietitian
  • Darien, IL
National Provider Identifier
1083483812
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Amna Haq, MSNPI 1376107532
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.