Active NPI
Courtney Elizabeth Knowles, R.D., L.D.N.
- Registered Dietitian
- Lincolnwood, IL
National Provider Identifier
1457688160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1026283
- Practice address
- 7301 North Lincoln Avenue
Suite 205
Lincolnwood, IL 60712-1735 - Phone
- (847) 674-5555
- Fax
- (847) 675-7019
- NPI assigned
- Nov 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1026283 | Primary | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 164.005158 | IL |
Addresses
Primary practice location
7301 North Lincoln Avenue
Suite 205
Lincolnwood, IL 60712-1735
Mailing address
7301 North Lincoln Avenue
Suite 205
Lincolnwood, IL 60712-1735
Phone (847) 674-5555
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.005158 | IL | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1457688160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 NORTH LINCOLN AVENUE",
"address_2": "SUITE 205",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121735",
"telephone_number": "847-674-5555",
"fax_number": "847-675-7019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 NORTH LINCOLN AVENUE",
"address_2": "SUITE 205",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121735",
"telephone_number": "847-674-5555",
"fax_number": "847-675-7019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "R.D., L.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1026283",
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "IL",
"license": "164.005158",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.