Organization Active NPI

Esther L Ellis LLC

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1164016309
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ESTHER L ELLIS LLC
Practice address
1200 N Ashland Ave Ste 500
Chicago, IL 60622-8327
Phone
(872) 256-6359
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Esther Liana Ellis, MS, RDN, LDNNPI 1275124422
Title
Registered Dietitian Nutritionist
Phone
(225) 803-3177

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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1200 N Ashland Ave Ste 500
Chicago, IL 60622-8327

Mailing address

4151 N Western Ave Ste 2
Chicago, IL 60618-9034
Phone (872) 256-6359

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address estherlellis@estherlellis.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210826002428 IL Part B Supplier - Clinic/Group Practice 8022413137 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

4151 N Western Ave
Ste 2
Chicago, IL 60618

418 Broadway
Ste 5725
Albany, NY 12207
Phone (872) 256-6359

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1164016309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 N WESTERN AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606189034",
            "telephone_number": "872-256-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ASHLAND AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228327",
            "telephone_number": "872-256-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHER L ELLIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "LIANA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "225-803-3177",
        "authorized_official_credential": "MS, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "estherlellis@estherlellis.com",
            "affiliation": "N",
            "endpointDescription": "Google Workspace",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2122 N Stave St Apt 2",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606474054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 10, 2026; 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.