Kristin A. R. Gustashaw, M.S., R.D., L.D.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1700 W Van Buren St
Suite 425 Tob
Chicago, IL 60612-3218

Phone

(312) 942-3438

Fax

(312) 942-5203

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542
  Medicare reassignment NPD
• Rush University Medical Center

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1184269425
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154429751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W VAN BUREN ST",
            "address_2": "SUITE 425 TOB",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123218",
            "telephone_number": "312-942-3438",
            "fax_number": "312-942-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W VAN BUREN ST",
            "address_2": "SUITE 425 TOB",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123218",
            "telephone_number": "312-942-3438",
            "fax_number": "312-942-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTASHAW",
        "first_name": "KRISTIN",
        "middle_name": "A. R.",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D., L.D.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Luz Gustafson, PHD
• Erin Marie Gustafson, LCSW
• Jennifer Lynn Gustafson, RD,LDN,CDE.
• Melissa Gustafson, LSW
• Carl Joseph Gustas Sr., DO
• Emmanuel Gustave, PHARMD
• Roy Guster, D.D.S.
• Cathleen Anne Gutekanst, APN
• Stephen Gutekanst Jr., PHARMD
• Chloe Gutenkauf, HIGH SCHOOL DIPLOMA

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.