Active NPI
Kelly Whirity, RD
- Registered Dietitian
- Oak Lawn, IL
National Provider Identifier
1295285302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.005968
- Practice address
- 4220 W 95TH St
Suite 200
Oak Lawn, IL 60453-2793 - Phone
- (708) 398-0273
- NPI assigned
- Oct 12, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 164.005968 | IL | Primary |
Addresses
Primary practice location
4220 W 95TH St
Suite 200
Oak Lawn, IL 60453-2793
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700824455 | Other | IL | NPI FOR ADVOCATE MEDICAL GROUP |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwhirity208532@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.005968 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1295285302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 W 95TH ST",
"address_2": "SUITE 200",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532793",
"telephone_number": "708-398-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHIRITY",
"first_name": "KELLY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.005968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR ADVOCATE MEDICAL GROUP",
"identifier": "1700824455",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwhirity208532@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4220 W 95th St",
"address_2": "Suite 200",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532793",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4220 W 95th St",
"address_2": "Suite 200",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532793",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.