Active NPI
Jennifer Raniszeski, RD
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1164826715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86011932
- Practice address
- 1525 W Homer St
Suite 101
Chicago, IL 60642-1280 - Phone
- (773) 443-8680
- NPI assigned
- Oct 10, 2014
- 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 | 86011932 | MI | Primary |
Addresses
Primary practice location
1525 W Homer St
Suite 101
Chicago, IL 60642-1280
Mailing address
1525 W Homer St
Suite 101
Chicago, IL 60642-1280
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86011932 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1164826715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 W HOMER ST",
"address_2": "SUITE 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606421280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W HOMER ST",
"address_2": "SUITE 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606421280",
"telephone_number": "773-443-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANISZESKI",
"first_name": "JENNIFER",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86011932",
"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 Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.