Active NPI
Erika Kimberly Siesennop, RD, LDN
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1386065654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.004792
- Practice address
- 561 W Diversey Pkwy
Suite 219
Chicago, IL 60614-6068 - Phone
- (773) 241-1747
- NPI assigned
- Jan 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.004792 | IL | Primary |
Addresses
Primary practice location
561 W Diversey Pkwy
Suite 219
Chicago, IL 60614-6068
Mailing address
2600 W Logan Blvd
Apt 2K
Chicago, IL 60647-1888
Phone (773) 241-1747
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
| License | State | Type | Specialty |
|---|---|---|---|
| 164.004792 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthier Tomorrows, PLLC | Dietitian, Registered | Past | Accepting new patients |
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": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1386065654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 W LOGAN BLVD",
"address_2": "APT 2K",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606471888",
"telephone_number": "773-241-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 W DIVERSEY PKWY",
"address_2": "SUITE 219",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146068",
"telephone_number": "773-241-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIESENNOP",
"first_name": "ERIKA",
"middle_name": "KIMBERLY",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.004792",
"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 Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.