Individual provider Active NPI

Janna Nelinson, MS, RD, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1588934863
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1018811 Issued in IL
Practice address
2425 N Greenview Ave
Garden Rear
Chicago, IL 60614-6387
Phone
(972) 816-5514
NPI assigned
Jan 4, 2012
Reactivated
Jun 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 1018811 IL Primary

Addresses

Primary practice location

2425 N Greenview Ave
Garden Rear
Chicago, IL 60614-6387

Mailing address

2425 N Greenview Ave
Garden Rear
Chicago, IL 60614-6387
Phone (972) 816-5514

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
1018811ILMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1588934863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 N GREENVIEW AVE",
            "address_2": "GARDEN REAR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146387",
            "telephone_number": "972-816-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N GREENVIEW AVE",
            "address_2": "GARDEN REAR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146387",
            "telephone_number": "972-816-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELINSON",
        "first_name": "JANNA",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "deactivation_date": "2021-01-21",
        "reactivation_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "1018811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 14, 2022; 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.