Individual provider Active NPI

Blair J Hayes, RDN, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1356953004
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.008089 Issued in IL
Practice address
1 E Erie St Ste 525
Chicago, IL 60611-2980
Phone
(224) 357-6599
NPI assigned
Aug 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 164.008089 IL Primary

Addresses

Primary practice location

1 E Erie St Ste 525
Chicago, IL 60611-2980

Mailing address

1 E Erie St Ste 525
#227
Chicago, IL 60611-2980
Phone (224) 357-6599

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
164.008089ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Nutrition Counseling Dietitian, Registered CurrentSince Aug 1, 2020 Accepting new patients

Locations

1 E Erie St
Ste 525
Chicago, IL 60611
Phone (312) 775-2045

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1356953004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525",
            "address_2": "#227",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112980",
            "telephone_number": "224-357-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112980",
            "telephone_number": "224-357-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "BLAIR",
        "middle_name": "J",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.008089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.