Organization Active NPI

Nourish Healthcare

  • Nutritionist
  • Downers Grove, IL
National Provider Identifier
1295498087
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
NOURISH HEALTHCARE
Practice address
5117B Main St Ste 3
Downers Grove, IL 60515-4602
Phone
(630) 442-0169
Fax
(708) 234-7065
NPI assigned
Oct 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Dr. Michael Robinson, ND, CNS, LDNNPI 1104467760
Title
Owner
Phone
(630) 442-0169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X

Addresses

Primary practice location

5117B Main St Ste 3
Downers Grove, IL 60515-4602

Mailing address

5117B Main St Ste 3
Downers Grove, IL 60515-4602
Phone (630) 442-0169

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Charmhealth.com Direct

National Provider Directory

National Provider Directory

Locations

5117 Main St
Ste 3
Downers Grove, IL 60515
Phone (630) 432-0169

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1295498087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117B MAIN ST STE 3",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154602",
            "telephone_number": "630-442-0169",
            "fax_number": "708-234-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117B MAIN ST STE 3",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154602",
            "telephone_number": "630-442-0169",
            "fax_number": "708-234-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-442-0169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, CNS, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Charmhealth.com",
            "affiliation": "N",
            "endpointDescription": "Charm EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5117B Main St Ste 3",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605154602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.