Active NPI
Jennifer Behrens North, RDN, MBA
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1144683095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164006685
- Practice address
- 2003 W Fulton St
Chicago, IL 60612-2345 - Phone
- (312) 850-3438
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164006685 | IL | Primary |
Addresses
Primary practice location
2003 W Fulton St
Chicago, IL 60612-2345
Mailing address
2756 N Pine Grove Ave
Apt 810
Chicago, IL 60614-6138
Phone (574) 339-9835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164006685 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1144683095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2756 N PINE GROVE AVE",
"address_2": "APT 810",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146138",
"telephone_number": "574-339-9835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 W FULTON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122345",
"telephone_number": "312-850-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTH",
"first_name": "JENNIFER",
"middle_name": "BEHRENS",
"credential": "RDN, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164006685",
"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 Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.