Individual provider Active NPI

Zayna M Flahaut, RD

  • Registered Dietitian
  • Spring Grove, IL
National Provider Identifier
1609523281
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86117706 Issued in IL
Practice address
1809 Spring CT
Spring Grove, IL 60081-8644
Phone
(217) 781-2127
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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

State licenses

LicenseStateTypeSpecialty
86117706ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wholesome Nutrition LLC Dietitian, Registered CurrentSince Oct 2, 2022 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86117706 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1809 Spring CT
Spring Grove, IL 60081-8644

Mailing address

1809 Spring CT
Spring Grove, IL 60081-8644
Phone (217) 781-2127

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL 2177812127 Wholesome Nutrition

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2022.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1609523281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 SPRING CT",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818644",
            "telephone_number": "217-781-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 SPRING CT",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818644",
            "telephone_number": "217-781-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHAUT",
        "first_name": "ZAYNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "86117706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2177812127",
            "affiliation": "Y",
            "affiliationName": "Wholesome Nutrition",
            "address_1": "1809 Spring Ct",
            "city": "Spring Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600818644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.