Courtney Rulynn Southwood, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.005319 Issued in IL

Practice address

460 Quail Ridge Dr
Westmont, IL 60559-6145

Phone

(630) 986-2800

Fax

(630) 986-2440

NPI assigned

Jun 29, 2017

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seen Medical Group of Il PCGroup PAC ID 4183126261, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.southwood.1@380.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/9336/brand/1/csg/1/fhir/r4

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.

• Seen Medical Group of Il, PC

  • Internal Medicine Physician
  • Schaumburg, IL
  • NPI 1184456949

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Known Chicago SC

  • Family Medicine Physician
  • Westmont, IL
  • NPI 1700609484

  Dietitian, Registered

  NPD (past)
• Parsley Medical Group FL PA

  dba Parsley Medical Group of AK

  • General Practice Physician
  • Anchorage, AK
  • NPI 1679330039
  NPD (past)
• Seen Medical Group, P.a.

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1831944370

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1205357282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 QUAIL RIDGE DR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596145",
            "telephone_number": "630-986-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 QUAIL RIDGE DR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596145",
            "telephone_number": "630-986-2800",
            "fax_number": "630-986-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWOOD",
        "first_name": "COURTNEY",
        "middle_name": "RULYNN",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney.southwood.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "460 Quail Ridge Dr",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605596145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Somerfield
• Frank Soto
• Rafael Soto
• Priyanka Soudagar
• Southerncare, Inc. (Heartland)
• Gregory Souza, CRNA
• Nicolette Spencer, DMD
• Monika Spokas, OD
• Sports Medicine Solutions, S.C.
• Erika Stanfield, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.