Individual provider Active NPI

Carol D'Anca, MS, CNS, LDN

  • Nutrition Education Nutritionist
  • Highland Park, IL
National Provider Identifier
1225454382
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
164.006080 Issued in IL
Practice address
935 Evergreen Way
Highland Park, IL 60035-3739
Phone
(847) 894-7581
NPI assigned
Mar 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 164.006080 IL
Nutrition Education Nutritionist 133NN1002X 164.006080 IL Primary

Addresses

Primary practice location

935 Evergreen Way
Highland Park, IL 60035-3739

Mailing address

935 Evergreen Way
Highland Park, IL 60035-3739
Phone (847) 894-7581

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
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
164.006080ILMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1225454382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 EVERGREEN WAY",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353739",
            "telephone_number": "847-894-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 EVERGREEN WAY",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353739",
            "telephone_number": "847-894-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANCA",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "164.006080",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "IL",
            "license": "164.006080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.