Active NPI
Jessica Dogert
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1457730822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164006041
- Practice address
- 939 W North Ave
Chicago, IL 60642-7138 - Phone
- (312) 337-1244
- NPI assigned
- May 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164006041 | IL | Primary |
Addresses
Primary practice location
939 W North Ave
Chicago, IL 60642-7138
Mailing address
939 W North Ave
Chicago, IL 60642-7138
Phone (312) 337-1244
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 |
|---|---|---|---|
| 164006041 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1457730822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606427138",
"telephone_number": "312-337-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606427138",
"telephone_number": "312-337-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOGERT",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164006041",
"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 May 19, 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.