Active NPI
Laurie Michelle Kaplan, RD
- Registered Dietitian
- Dunlap, IL
National Provider Identifier
1437770872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.007242
- Practice address
- 12603 N. Feucht Rd
Dunlap, IL 61525-6152 - Phone
- (309) 303-4450
- NPI assigned
- Apr 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 164.007242 | IL | Primary |
Addresses
Primary practice location
12603 N. Feucht Rd
Dunlap, IL 61525-6152
Mailing address
PO Box 365
Dunlap, IL 61525-0365
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dunlap |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.007242 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1437770872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365",
"city": "DUNLAP",
"state": "IL",
"postal_code": "615250365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12603 N. FEUCHT RD",
"city": "DUNLAP",
"state": "IL",
"postal_code": "615256152",
"telephone_number": "309-303-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN",
"first_name": "LAURIE",
"middle_name": "MICHELLE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-27",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.007242",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dunlap",
"affiliation": "N",
"address_1": "12603 N. Feucht Rd",
"city": "Dunlap",
"state": "IL",
"country_code": "US",
"postal_code": "615256152",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dunlap, IL
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- Jet Dental of Illinois, PLLC
- Kimberly Jenine Johnson, ED.D
- Rimsha Kashif, LMSW
- Kids Thrive Therapy, LLC
- Amy E Kordonowy
- Michelle Lynn Lizer
- Angela Lollock, RD, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.