Katie Primak, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164-004176 Issued in IL

Practice address

2300 N Barrington Rd Ste 400
Hoffman Estates, IL 60169-2036

Phone

(847) 490-5392

Fax

(815) 526-3440

NPI assigned

May 27, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• KNP Nutrition LLC

  • Registered Dietitian
  • Hoffman Estates, IL
  • NPI 1104418185

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1275981474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BARRINGTON RD STE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692036",
            "telephone_number": "847-490-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N BARRINGTON RD STE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692036",
            "telephone_number": "847-490-5392",
            "fax_number": "815-526-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S McHenry Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147487",
            "country_code": "US",
            "telephone_number": "815-526-3750",
            "fax_number": "815-536-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIMAK",
        "first_name": "KATIE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164-004176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prafulla K Koneru M.D., S.C.
• Alisa Renee Prantner, APN, PMHNP-CS
• Asia Lakiya Pratt
• Premier Health Consultants Inc
• Premier Specialty Infusion LLC
• Prime Star Management Inc.
• Primenp
• Tessa Virginia Probasco
• Professional Pharmacy Inc
• Professional Sleep Labs,Inc

• Registered Dietitian in Hoffman Estates, IL
• Providers in Hoffman Estates, 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 30, 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.