Active NPI
Cristina Arceo, MS RDN LDN IBCLC
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1194504563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.005977
- Practice address
- 3921 N Lincoln Ave
Chicago, IL 60613-2417 - Phone
- (312) 380-5344
- Fax
- (312) 277-0932
- NPI assigned
- Sep 26, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-130020 | VA | |
| Registered Dietitian | 133V00000X | 164.005977 | IL | Primary |
Addresses
Primary practice location
3921 N Lincoln Ave
Chicago, IL 60613-2417
Mailing address
3921 N Lincoln Ave
Chicago, IL 60613-2417
Phone (312) 380-5344
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.005977 | IL | MD | Registered Dietitian |
| L-130020 | VA | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourishment Works PC | Dietitian, Registered | Current | Accepting new patients |
Locations
3921 N Lincoln Ave
Chicago, IL 60613
Phone (312) 380-5344
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": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1194504563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3921 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132417",
"telephone_number": "312-380-5344",
"fax_number": "312-277-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132417",
"telephone_number": "312-380-5344",
"fax_number": "312-277-0932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCEO",
"first_name": "CRISTINA",
"credential": "MS RDN LDN IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "VA",
"license": "L-130020",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.005977",
"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 Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.