Grace Tivnan Whiteford, MS, RD, CSSD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164004293 Issued in IL

Practice address

997 N Corporate Cir
Grayslake, IL 60030-7822

Phone

(847) 868-3435

NPI assigned

Mar 22, 2007

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

Enrolled in IL, NJ, CO, AR4 enrollments

Enrollment records 4

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Season Clinical Care NJ PC

  dba Season Health

  • Registered Dietitian
  • Parsippany, NJ
  • NPI 1700693348

  Dietitian, Registered

  Medicare reassignment NPD
• Season Clinical Care P.a.

  dba Season Health

  • Registered Dietitian
  • Irving, TX
  • NPI 1649933565

  AR, CO, Dietitian, Registered, IL

  Medicare reassignment NPD
• PHC of Buffalo Grove Clinical Psychology

  dba Portrait Health Centers

  • Psychologist
  • Vernon Hills, IL
  • NPI 1235430612

  Dietitian, Registered

  NPD (past)
• H-E-B, LP

  dba Heb Pharmacy #425

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1073622411
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1417073180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 KENLOCH AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481770",
            "telephone_number": "847-849-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 N CORPORATE CIR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307822",
            "telephone_number": "847-868-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEFORD",
        "first_name": "GRACE",
        "middle_name": "TIVNAN",
        "credential": "MS, RD, CSSD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Watson, MD
• Anna Watters
• Allison Wazorick, FNP-C
• John Wessel
• Sharon Lynn Whited, L.C.S.W.
• Rebecca Jo Wiegman, MA
• Sophia M Williams
• Wilson Wellness Group Inc (Bella Home Medical & Rehab)
• Jasmine Wilson
• Elaine Ruth Winegard, D.M.D.

• Registered Dietitian in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.