Active NPI
Holly Casey, M.S., R.D, L.D.
- Registered Dietitian
- Wilmette, IL
National Provider Identifier
1235552035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.002386
- Practice address
- 2120 Birchwood Ave
Wilmette, IL 60091-2306 - Phone
- (847) 853-0399
- NPI assigned
- Jan 29, 2014
- Last updated
- Jan 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.002386 | IL | Primary |
Addresses
Primary practice location
2120 Birchwood Ave
Wilmette, IL 60091-2306
Mailing address
2120 Birchwood Ave
Wilmette, IL 60091-2306
Phone (847) 853-0399
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.002386 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1235552035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 BIRCHWOOD AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912306",
"telephone_number": "847-853-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 BIRCHWOOD AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912306",
"telephone_number": "847-853-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "HOLLY",
"name_prefix": "Ms.",
"credential": "M.S., R.D, L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-29",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.002386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.