Elaine Taneva Feddersen, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

9977 Woods Dr
Enh Specialities Suite
Skokie, IL 60077-1057

Phone

(847) 663-8540

Fax

(847) 663-1015

NPI assigned

Sep 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1205022290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "address_2": "EVANSTON HOSPITAL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-1206",
            "fax_number": "847-570-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9977 WOODS DR",
            "address_2": "ENH SPECIALITIES SUITE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771057",
            "telephone_number": "847-663-8540",
            "fax_number": "847-663-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDERSEN",
        "first_name": "ELAINE",
        "middle_name": "TANEVA",
        "credential": "CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Cress Farley, RPH
• Helen Ann Farrell, L.C.S.W.
• Elizabeth Faustmann, NP
• Karen Fayden, LCSW
• Diane Fearnley
• Rebecca Sherman Fehling, PA-C
• Anna Fehsenfeld, LCSW
• Jill Fein Baker, MSW, LCSW
• Susan B Feingold, PSY.D
• Femhealth USA, Inc

• Registered Dietitian in Skokie, IL
• Providers in Skokie, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.