Individual provider Active NPI

Jaime E Finn, RD

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1447363171
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.003955 Issued in IL
Practice address
1525 W Homer St
Ste #301
Chicago, IL 60622-1280
Phone
(773) 292-1940
Fax
(773) 292-1939
NPI assigned
Aug 16, 2006
Last updated
Feb 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.003955 IL Primary

Addresses

Primary practice location

1525 W Homer St
Ste #301
Chicago, IL 60622-1280

Mailing address

1821 N Milwaukee Ave
Chicago, IL 60647-6484
Phone (847) 977-1224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090309000166 IL Practitioner - Registered Dietitian Or Nutrition Professional 1456417930 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.003955ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ad Medical Supply, Inc. Dietitian, Registered CurrentSince Aug 25, 2003 Accepting new patients
Chicagoland Ad Medical Inc Past Accepting new patients

Locations

1525 W Homer St
Ste 101
Chicago, IL 60642
Phone (773) 292-1940

1525 W Homer St
Ste 301
Chicago, IL 60642
Phone (773) 292-1940

6160 N Cicero Ave
Ste 503
Chicago, IL 60646
Phone (773) 292-1940

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1447363171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476484",
            "telephone_number": "847-977-1224",
            "fax_number": "773-292-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W HOMER ST",
            "address_2": "STE #301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221280",
            "telephone_number": "773-292-1940",
            "fax_number": "773-292-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINN",
        "first_name": "JAIME",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.003955",
            "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 Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.