NPIMap

Organization Active NPI

Primary Nutrition Specialists, Inc.

  • Pediatric Nutrition Registered Dietitian
  • Frankfort, IL
National Provider Identifier
1295860781
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
Legal business name
PRIMARY NUTRITION SPECIALISTS, INC.
Practice address
733 Spruce Rd
Frankfort, IL 60423-1039
Phone
(815) 464-9735
Fax
(815) 464-9735
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Marlene S. Sekula, RD,LDN
Title
President
Phone
(815) 464-9735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1004X Primary

Addresses

Primary practice location

733 Spruce Rd
Frankfort, IL 60423-1039

Mailing address

733 Spruce Rd
Frankfort, IL 60423-1039
Phone (815) 464-9735

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1295860781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 SPRUCE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231039",
            "telephone_number": "815-464-9735",
            "fax_number": "815-464-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 SPRUCE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231039",
            "telephone_number": "815-464-9735",
            "fax_number": "815-464-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY NUTRITION SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "SEKULA",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-464-9735",
        "authorized_official_credential": "RD,LDN"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.