Active NPI
Deepa Deshmukh, MPH,RD,LDN
- Registered Dietitian
- Lisle, IL
National Provider Identifier
1164570313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164004325
- Practice address
- 3080 Ogden Ave
Lisle, IL 60532-1691 - Phone
- (630) 839-9296
- NPI assigned
- Jan 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 164004325 | IL | Primary |
Addresses
Primary practice location
3080 Ogden Ave
Lisle, IL 60532-1691
Mailing address
1603 Barkei Dr
Batavia, IL 60510-8305
Phone (630) 699-2417
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Dietitians | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- ddeshmukh586267@direct.ochin.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1164570313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 BARKEI DR",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605108305",
"telephone_number": "630-699-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 OGDEN AVE",
"city": "LISLE",
"state": "IL",
"postal_code": "605321691",
"telephone_number": "630-839-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHMUKH",
"first_name": "DEEPA",
"name_prefix": "Mrs.",
"credential": "MPH,RD,LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164004325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.