Individual provider Active NPI

Julie Burns, MS, RD, CCN

  • Registered Dietitian
  • Hinsdale, IL
National Provider Identifier
1245617240
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.001960 Issued in IL
Practice address
12 Salt Creek LN Ste 300
Hinsdale, IL 60521-8611
Phone
(708) 246-9774
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.001960 IL Primary

Addresses

Primary practice location

12 Salt Creek LN Ste 300
Hinsdale, IL 60521-8611

Mailing address

6688 Joliet Rd Ste 193
Countryside, IL 60525-4575
Phone (708) 246-9774

Other practice location 1

4911 Lawn Ave
Western Springs, IL 60558-1732
Phone (708) 792-3587

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
Master of Science

State licenses

LicenseStateTypeSpecialty
164.001960ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sportfuel, Inc. Dietitian, Registered Current Accepting new patients

Locations

6688 Joliet Rd
Countryside, IL 60525
Phone (630) 226-1800

12 Salt Creek Ln
Ste 300
Hinsdale, IL 60521
Phone (630) 850-7901

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1245617240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 JOLIET RD STE 193",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254575",
            "telephone_number": "708-246-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN STE 300",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218611",
            "telephone_number": "708-246-9774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4911 Lawn Ave",
            "address_purpose": "LOCATION",
            "city": "Western Springs",
            "state": "IL",
            "postal_code": "605581732",
            "country_code": "US",
            "telephone_number": "708-792-3587",
            "fax_number": "708-246-8797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JULIE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.001960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.