BC Nutrition LLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

164.005998 Issued in IL

Legal business name

BC NUTRITION LLC

Practice address

1101 S Canal St
Chicago, IL 60607

Phone

(630) 854-8476

Fax

(312) 360-1013

NPI assigned

Mar 9, 2018

Organization subpart

No

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

Authorized official

Name

Brett Curtiss, RD

Title

Owner

Phone

(630) 854-8476

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1235632928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 WHITE THORN CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644928",
            "telephone_number": "630-854-8476",
            "fax_number": "312-360-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CANAL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60607",
            "telephone_number": "630-854-8476",
            "fax_number": "312-360-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "CURTISS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-854-8476",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005998",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "IL",
            "license": "164.005998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.