Individual provider Active NPI

Sandra E Dempsey, R.D.

  • Registered Dietitian
  • Olympia Fields, IL
National Provider Identifier
1487067690
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.005939 Issued in IL
Practice address
3700 W 203Rd St Ste 310
Olympia Fields, IL 60461-1182
Phone
(708) 679-2130
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 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 164.005939 IL Primary

Addresses

Primary practice location

3700 W 203Rd St Ste 310
Olympia Fields, IL 60461-1182

Mailing address

3712 W Wrightwood Ave Apt 3F
Chicago, IL 60647-1149

Other names 1

  • Sandra E Wynveen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140911000007 IL Practitioner - Registered Dietitian Or Nutrition Professional 0648499335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.005939ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Apr 3, 2023 Accepting new patients
Edward Health Ventures CurrentSince Apr 3, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince May 12, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
St James Hospital US Catholic Conference Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

1331 W 75th St
Ste 201
Naperville, IL 60540
Phone (630) 420-1500

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

Organizations & group practices 5

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1487067690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 W WRIGHTWOOD AVE APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 203RD ST STE 310",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611182",
            "telephone_number": "708-679-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "SANDRA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "WYNVEEN",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.