Amy Manojlovski, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164003471 Issued in IL

Practice address

288 Dickens St
Northfield, IL 60093-3225

Phone

(773) 354-4944

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mynutritiongoals.Com LLC

  • Early Intervention Provider Agency
  • Northfield, IL
  • NPI 1306205760
  NPD (past) Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1598962425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 DICKENS ST",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933225",
            "telephone_number": "773-354-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 DICKENS ST",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933225",
            "telephone_number": "773-354-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOJLOVSKI",
        "first_name": "AMY",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164003471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River James Macleod, BA
• William James Macmurray, M.ED.
• Maddie Wehmer PSYD PLLC
• Maggiolino Medical, S.C.
• Ann Rose Magner
• Stephanie Tempest Marino, B.A., M.A.
• Martin & Carole Parker LTD
• Andrea Patricia Martinez Cabrera
• Javier Martinez, LPC
• Taylor Marzec, MS-SLP

• Registered Dietitian in Northfield, IL
• Providers in Northfield, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.