Individual provider Active NPI

Lindsey Shaffer, RD

  • Registered Dietitian
  • Huntley, IL
National Provider Identifier
1568812469
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.006847 Issued in IL
Practice address
10450 Algonquin Rd Ste 100a
Huntley, IL 60142-7064
Phone
(815) 334-5566
Fax
(847) 802-7259
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 164.006847 IL Primary

Addresses

Primary practice location

10450 Algonquin Rd Ste 100a
Huntley, IL 60142-7064

Mailing address

10450 Algonquin Rd Ste 100a
Huntley, IL 60142-7064
Phone (815) 334-5566

Other practice location 1

3923 Mercy Dr
Suite F
McHenry, IL 60050-3173
Phone (815) 344-5061 ext. 711

Other practice location 2

360 Station Dr Ste 100
Crystal Lake, IL 60014-7994
Phone (815) 334-5566

Other practice location 3

3707 Doty Rd Ste G&h
Woodstock, IL 60098-7530
Phone (815) 334-5566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160706000964 IL Practitioner - Registered Dietitian Or Nutrition Professional 8022300474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

10450 Algonquin Rd
Suite 100a
Huntley, IL 60142-7064
Phone (815) 334-5566

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.006847ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Lodestone Center for Behavioral Health, PC CurrentSince Oct 1, 2019 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 20, 2023 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 20, 2023 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

360 Station Dr
Ste 100
Crystal Lake, IL 60014
Phone (815) 334-5566

15 Spinning Wheel Rd
Ste 426
Hinsdale, IL 60521
Phone (630) 323-3050

10450 Algonquin Rd
Ste 100A
Huntley, IL 60142
Phone (815) 334-5566

3923 Mercy Dr
Unit F
McHenry, IL 60050
Phone (815) 344-5061

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

111 Dean St
Woodstock, IL 60098
Phone (815) 344-5061

3707 Doty Rd
Ste Gh
Woodstock, IL 60098
Phone (815) 206-2800

Organizations & group practices 3

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1568812469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 ALGONQUIN RD STE 100A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427064",
            "telephone_number": "815-334-5566",
            "fax_number": "847-802-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 ALGONQUIN RD STE 100A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427064",
            "telephone_number": "815-334-5566",
            "fax_number": "847-802-7259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3923 Mercy Dr",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600503173",
            "country_code": "US",
            "telephone_number": "815-344-5061 x711",
            "fax_number": "815-344-5072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Station Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147994",
            "country_code": "US",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 Doty Rd Ste G&h",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987530",
            "country_code": "US",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "LINDSEY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.006847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.