Linda Illingworth, RD, CSSD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

Practice address

7138 Sherbourne LN
San Diego, CA 92129-4660

Phone

(858) 703-7090

NPI assigned

Sep 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• SD Sports Medicine and Family Health Center

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1669472510
  Medicare reassignment NPD

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1457787665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 SHERBOURNE LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294660",
            "telephone_number": "858-703-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 SHERBOURNE LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294660",
            "telephone_number": "858-703-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLINGWORTH",
        "first_name": "LINDA",
        "credential": "RD, CSSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Michael Ilfeld, MD
• Alessandro Iliceto, MD
• Mary Michelle Iliff, LMFT
• Shashonk Illam, PSY.D.
• Andrew Joseph Illig, D.O.
• Illumina, Inc
• Illuminate Within Family Therapy Professional Corporation
• Samson Oluwafemi Ilori, DNP, FNP-BC, NP-C
• Sadia Ilyas, M.D.
• Francis Im, DMD

• Metabolic Nutrition Registered Dietitian in San Diego, CA
• Providers in San Diego, CA by specialty
• Metabolic Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.