Individual provider Active NPI

Emily Kee, MS RDN CD

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1104329630
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1098466 Issued in WI
Practice address
8770 W Bryn Mawr Ave Ste 1330
Chicago, IL 60631-3515
Phone
(800) 761-9200
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1098466 WI Primary

Addresses

Primary practice location

8770 W Bryn Mawr Ave Ste 1330
Chicago, IL 60631-3515

Mailing address

410 W Hampton Ave Apt 312
Milwaukee, WI 53217-5410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 13, 2024 through Sep 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1098466WIMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1104329630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W HAMPTON AVE APT 312",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 W BRYN MAWR AVE STE 1330",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313515",
            "telephone_number": "800-761-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEE",
        "first_name": "EMILY",
        "credential": "MS RDN CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1098466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.