Organization Active NPI

KNP Nutrition LLC

  • Registered Dietitian
  • Hoffman Estates, IL
National Provider Identifier
1104418185
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KNP NUTRITION LLC
Practice address
2300 Barrington Rd Ste 400
Hoffman Estates, IL 60169-2036
Phone
(847) 636-4936
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Mrs. Katherine Primak, RD, LDN, CEDRD
Title
Registered Dietitian
Phone
(847) 636-4936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2300 Barrington Rd Ste 400
Hoffman Estates, IL 60169-2036

Mailing address

2300 Barrington Rd Ste 400
Hoffman Estates, IL 60169-2036
Phone (847) 636-4936

Other practice location 1

800 S McHenry Ave Ste F
Crystal Lake, IL 60014-7487
Phone (847) 636-4936

National Provider Directory

National Provider Directory

Locations

800 S McHenry Ave
Ste F
Crystal Lake, IL 60014
Phone (815) 342-9786

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": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1104418185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BARRINGTON RD STE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692036",
            "telephone_number": "847-636-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BARRINGTON RD STE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692036",
            "telephone_number": "847-636-4936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S McHenry Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147487",
            "country_code": "US",
            "telephone_number": "847-636-4936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KNP NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "PRIMAK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "847-636-4936",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LDN, CEDRD"
    },
    "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 Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.