Organization Active NPI

Tamwellnourished PLLC

  • Nutritionist
  • Chicago, IL
National Provider Identifier
1104653625
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
TAMWELLNOURISHED PLLC
Practice address
4851 N Winchester Ave Apt 3
Chicago, IL 60640-3073
Phone
(708) 439-8382
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Tamarind Dickson Meyer, CNS LDNNPI 1194507392
Title
Owner/Manager
Phone
(708) 439-8382

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
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

4851 N Winchester Ave Apt 3
Chicago, IL 60640-3073

Mailing address

4851 N Winchester Ave Apt 3
Chicago, IL 60640-3073
Phone (708) 439-8382

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": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1104653625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 N WINCHESTER AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403073",
            "telephone_number": "708-439-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 N WINCHESTER AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403073",
            "telephone_number": "708-439-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMWELLNOURISHED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "DICKSON MEYER",
        "authorized_official_first_name": "TAMARIND",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "708-439-8382",
        "authorized_official_credential": "CNS LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.