Netta D'Souza, MD, NMD

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

036047857 Issued in IL

Practice address

1000 W Lake St
Suite G
Oak Park, IL 60301-1146

Phone

(708) 848-3393

Fax

(708) 848-3395

NPI assigned

Nov 16, 2011

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1225315435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W LAKE ST",
            "address_2": "SUITE G",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011146",
            "telephone_number": "708-848-3393",
            "fax_number": "708-848-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W LAKE ST",
            "address_2": "SUITE G",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011146",
            "telephone_number": "708-848-3393",
            "fax_number": "708-848-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "NETTA",
        "name_prefix": "Dr.",
        "credential": "MD, NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "IL",
            "license": "036047857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Education Nutritionist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Nutrition Education Nutritionist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.