Individual provider Active NPI

Anne Suelzer, MBA, RD, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1457036923
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.009225 Issued in IL
Practice address
160 N Wacker Dr Unit 201
Chicago, IL 60606-1633
Phone
(312) 374-5399
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 164.009225 IL Primary

Addresses

Primary practice location

160 N Wacker Dr Unit 201
Chicago, IL 60606-1633

Mailing address

714 Wood Creek CT
Island Lake, IL 60042-9590
Phone (847) 254-3400

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
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
164.009225ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Health Loft PLLC Dietitian, Registered PastSince Jun 25, 2023 Accepting new patients
Health Loft Services LLC Dietitian, Registered PastSince Mar 31, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1457036923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 WOOD CREEK CT",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429590",
            "telephone_number": "847-254-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N WACKER DR UNIT 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061633",
            "telephone_number": "312-374-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUELZER",
        "first_name": "ANNE",
        "credential": "MBA, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.009225",
            "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 Jun 21, 2023; 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.