Active NPI
Talia Ann Hauser, LICENSED DIETICIAN
- Registered Dietitian
- Park Ridge, IL
National Provider Identifier
1396063889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164005073
- Practice address
- 1775 Dempster St
Advocate Lutheran General Hospital
Park Ridge, IL 60068 - Phone
- (847) 723-2210
- NPI assigned
- May 10, 2010
- 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 | 164005073 | IL | Primary |
Addresses
Primary practice location
1775 Dempster St
Advocate Lutheran General Hospital
Park Ridge, IL 60068
Mailing address
1601 Elm St
Ste 4360
Dallas, TX 75201-4701
Phone (847) 723-2210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164005073 | Other | IL | STATE OF IL DIETITIAN LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gottlieb Community Health Services Corporation | Past | Accepting new patients | |
| Gottlieb Memorial Hospital | Past | Accepting new patients | |
| The Charge Group LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Berwyn, IL
- NPI 1043292428
-
- General Acute Care Hospital
- Melrose Park, IL
- NPI 1831170232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1396063889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 ELM ST",
"address_2": "STE 4360",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014701",
"telephone_number": "847-723-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 DEMPSTER ST",
"address_2": "ADVOCATE LUTHERAN GENERAL HOSPITAL",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "60068",
"telephone_number": "847-723-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSER",
"first_name": "TALIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LICENSED DIETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164005073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF IL DIETITIAN LICENSE",
"identifier": "164005073",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.