Active NPI
Erika Kristine Dycus, RN LDN
- Nutritionist
- Crystal Lake, IL
National Provider Identifier
1467147140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 164009162
- Practice address
- 2387 Achilles CT
Crystal Lake, IL 60014-3932 - Phone
- (815) 451-9367
- NPI assigned
- Apr 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutritionist | 133N00000X | 164009162 | IL | Primary |
Addresses
Primary practice location
2387 Achilles CT
Crystal Lake, IL 60014-3932
Mailing address
4119 Dean St
Woodstock, IL 60098-7501
Phone (815) 451-9367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240322003074 | IL | Practitioner - Registered Dietitian Or Nutrition Professional | 9436596699 | Practice locations: Woodstock, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- New York Chiropractic College, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Woodstock, IL 60098
Phone (815) 451-9367
4119 Dean St
Woodstock, IL 60098-7501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barefoot Nurse Nutritionist, LLC | Nutritionist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Nutritionist
- Woodstock, IL
- NPI 1033972005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1467147140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119 DEAN ST",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600987501",
"telephone_number": "815-451-9367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2387 ACHILLES CT",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143932",
"telephone_number": "815-451-9367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYCUS",
"first_name": "ERIKA",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "RN LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": "164009162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.