Active NPI
Joan Zietlow, RN
- Nutritionist
- Winnetka, IL
National Provider Identifier
1518328152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 041-194615
- Practice address
- 870 Foxdale Ave
Winnetka, IL 60093-1910 - Phone
- (847) 501-4604
- NPI assigned
- Mar 10, 2016
- 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 | 041-194615 | IL | Primary |
| Nutrition Education Nutritionist | 133NN1002X | 041-194615 | IL |
Addresses
Primary practice location
870 Foxdale Ave
Winnetka, IL 60093-1910
Mailing address
870 Foxdale Ave.
Winnetka, IL 60093
Phone (847) 501-4604
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-194615 | IL | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1518328152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 FOXDALE AVE.",
"city": "WINNETKA",
"state": "IL",
"postal_code": "60093",
"telephone_number": "847-501-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 FOXDALE AVE",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600931910",
"telephone_number": "847-501-4604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIETLOW",
"first_name": "JOAN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-10",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": "041-194615",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "IL",
"license": "041-194615",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.