Individual provider Active NPI

Anne Borris, RD LDN

  • Registered Dietitian
  • Huntley, IL
National Provider Identifier
1316364367
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164005798 Issued in IL
Practice address
10350 Haligus Rd Ste 220
Huntley, IL 60142
Phone
(815) 338-6600
Fax
(847) 802-7231
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164005798 IL Primary

Addresses

Primary practice location

10350 Haligus Rd Ste 220
Huntley, IL 60142

Mailing address

10350 Haligus Rd Ste 220
Huntley, IL 60142-9585
Phone (815) 338-6600

Other practice location 1

4309 W Medical Center Dr Ste B202
McHenry, IL 60050-8417
Phone (815) 338-6600

Other practice location 2

3707 Doty Rd Ste A
Woodstock, IL 60098-7530
Phone (815) 338-6600

Other practice location 3

10350 Haligus Rd Ste 200
Huntley, IL 60142-9545
Phone (815) 338-6600

Other practice location 4

650 Dakota St Ste A
Crystal Lake, IL 60012-3744
Phone (815) 338-6600

Other practice location 5

360 Station Dr Fl 3
Crystal Lake, IL 60014-7978
Phone (815) 338-6600

Other practice location 6

200 E Congress Pkwy
Crystal Lake, IL 60014-6268
Phone (815) 338-6600

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

LicenseStateTypeSpecialty
164005798ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1316364367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE 220",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429585",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE 220",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "60142",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 W Medical Center Dr Ste B202",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600508417",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-344-8957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 Doty Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987530",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-206-1089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 Haligus Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429545",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Dakota St Ste A",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600123744",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-356-1104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Station Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147978",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-356-6577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Congress Pkwy",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600146268",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "815-356-6577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORRIS",
        "first_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.