Individual provider Active NPI

Robin Sallee, FNLP

  • Nutritionist
  • Chicago, IL
National Provider Identifier
1255916243
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
77 W Washington St
Chicago, IL 60602-2801
Phone
(779) 301-4523
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

77 W Washington St
Chicago, IL 60602-2801

Mailing address

77 W Washington St
Chicago, IL 60602-2801
Phone (779) 301-4523

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.phriquizine.com
Other URL www.phriquizine.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Functional Healthcare Inc Nutritionist Current Accepting new patients
Qodosh Naturals Health and Wellness CurrentSince May 16, 2021 Accepting new patients

Locations

3535 E New York St
Aurora, IL 60504
Phone (630) 338-1652

3535 E New York St
Ste 117
Aurora, IL 60504
Phone (630) 381-1381

77 W Washington St
Ste 1614
Chicago, IL 60602
Phone (779) 301-4523

Organizations & group practices 2

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1255916243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022801",
            "telephone_number": "779-301-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022801",
            "telephone_number": "779-301-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEE",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "FNLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.phriquizine.com",
            "affiliation": "N",
            "address_1": "77 W Washington St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606022801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.phriquizine.com",
            "affiliation": "N",
            "address_1": "77 W Washington St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606022801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.