NPIMap

Organization Active NPI

Marcia Krisitin Schultz

  • Registered Dietitian
  • Bourbonnais, IL
National Provider Identifier
1427447044
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.005534 Issued in IL
Legal business name
MARCIA KRISITIN SCHULTZ
Practice address
1289 Armour Rd
Bourbonnais, IL 60914-2105
Phone
(815) 739-1040
NPI assigned
Jan 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Marcia K Schultz, MPH RD LDNNPI 1396021390
Title
Registered Dietitian
Phone
(815) 739-1040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 164.005534 IL Primary

Addresses

Primary practice location

1289 Armour Rd
Bourbonnais, IL 60914-2105

Mailing address

1289 Armour Rd
Bourbonnais, IL 60914-2105
Phone (815) 739-1040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1427447044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ARMOUR RD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142105",
            "telephone_number": "815-739-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 ARMOUR RD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142105",
            "telephone_number": "815-739-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA KRISITIN SCHULTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "815-739-1040",
        "authorized_official_credential": "MPH RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.