Brooke Smith, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.007915 Issued in IL

Practice address

77 W Amberley Dr
Round Lake, IL 60073-4246

Phone

(847) 815-0155

NPI assigned

Dec 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All Access Dietitians PLLC

  • Registered Dietitian
  • Lisle, IL
  • NPI 1689381790

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1376182873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W AMBERLEY DR",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600734246",
            "telephone_number": "847-815-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W AMBERLEY DR",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600734246",
            "telephone_number": "847-815-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BROOKE",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.007915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaley Schaller, MS,CCC-SLP/L
• Lawrence Scire
• Lucy Patel Shah, DDS
• Yusuf L Sharif
• Smiles of Round Lake PC
• Elizabeth Starzec, M.ED., M.S., OTR/L
• Natalie Steele
• Kathy Lynn Stewart, LCPC
• Elizabeth Thielen
• Joyce G Twardock, MS-CCC/SLP

• Registered Dietitian in Round Lake, IL
• Providers in Round Lake, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.