Individual provider Active NPI

Aneesa Sayeed Patel, MS, RDN, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1518638261
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.007802 Issued in IL
Practice address
3921 N Lincoln Ave
Chicago, IL 60613-2417
Phone
(872) 216-7870
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 164.007802 IL Primary

Addresses

Primary practice location

3921 N Lincoln Ave
Chicago, IL 60613-2417

Mailing address

9301 W Ballard Rd Apt B
Des Plaines, IL 60016-4997

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@nourishmentworks.com Nourishment Works PC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
164.007802ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Rochester Hospital Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Everfit Inc Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Organizations & group practices 4

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1518638261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 W BALLARD RD APT B",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132417",
            "telephone_number": "872-216-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANEESA",
        "middle_name": "SAYEED",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.007802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@nourishmentworks.com",
            "affiliation": "Y",
            "affiliationName": "Nourishment Works PC",
            "address_1": "3921 N Lincoln Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606132417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.