Individual provider Active NPI

Carol Jin Zhang, RDN, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1184411787
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1139 W Lawrence Ave Unit 812
Chicago, IL 60640-0533
Phone
(248) 974-1148
NPI assigned
Apr 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X IL Primary

Addresses

Primary practice location

1139 W Lawrence Ave Unit 812
Chicago, IL 60640-0533

Mailing address

1139 W Lawrence Ave Unit 812
Chicago, IL 60640-0533
Phone (248) 974-1148

Other practice location 1

1607 Westgate Cir Ste 200
Brentwood, TN 37027-8077
Phone (615) 376-8195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260126000915 TN Practitioner - Registered Dietitian Or Nutrition Professional 0345727905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8077
Phone (615) 376-8195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5565TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Jan 14, 2026 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jan 14, 2026 Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

1607 Westgate Cir
Ste 200
Brentwood, TN 37027
Phone (615) 376-8195

301 Grady Rd
Etowah, TN 37331
Phone (423) 263-1743

109 Del Rio Pike
Franklin, TN 37064
Phone (615) 432-3854

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

Organizations & group practices 4

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": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1184411787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 W LAWRENCE AVE UNIT 812",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606400533",
            "telephone_number": "248-974-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 W LAWRENCE AVE UNIT 812",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606400533",
            "telephone_number": "248-974-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 Westgate Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370278077",
            "country_code": "US",
            "telephone_number": "615-376-8195",
            "fax_number": "833-464-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "CAROL",
        "middle_name": "JIN",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "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 Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.