Cheryl Fitzgerald, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164007325 Issued in IL

Practice address

19805 S la Grange Rd
Mokena, IL 60448-8348

Phone

(708) 938-3378

NPI assigned

Nov 11, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1225630569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 BRUSHWOOD LN",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877037",
            "telephone_number": "773-540-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19805 S LA GRANGE RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488348",
            "telephone_number": "708-938-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CHERYL",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164007325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "19805 S La Grange Rd",
            "city": "Mokena",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604488348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sophia Feliciano
• Alexander Ethan Feller, M.D.
• Karen Fernandez, FNP
• Miguel E Ferrer
• Kenneth Finkelstein, D.O.
• Nicole Fitzgerald, FNP-BC
• Flexeon Rehabilitation & Hand Center of Mokena LLC
• Linda J Flight, LSW
• Mahogony Briana Floyd, RBT
• Margaret Fontana

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.