Michael Robinson, ND, MS, CNS, LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

164.007859 Issued in IL

Practice address

5117B Main St Ste 3
Downers Grove, IL 60515-4602

Phone

(630) 432-0169

NPI assigned

Oct 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nourish Healthcare

  • Nutritionist
  • Downers Grove, IL
  • NPI 1295498087
  NPD Authorized official

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1104467760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 PLYMOUTH LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401923",
            "telephone_number": "708-699-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117B MAIN ST STE 3",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154602",
            "telephone_number": "630-432-0169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Plymouth Ln",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604401923",
            "country_code": "US",
            "telephone_number": "708-699-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "ND, MS, CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-04",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0134102",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "164.007859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nourishhealthcare.org/contact",
            "affiliation": "N",
            "endpointDescription": "Website contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "5117B Main St Ste 3",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605154602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robin B Blakkolb DDS LTD
• Robinson Transport
• Jason Brooks Robinson, PA-S
• Jessica S Robinson, SLP
• Kristina Lynn Robinson, MS
• Joi Elizabeth Rockers
• Rockin the Rainbow Inc
• Rockwood Dialysis LLC
• Isamar Samantha Rodriguez, RN
• Kanisha Marie Rodriguez, LSW

• Nutritionist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Nutritionist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.