Zachary James Kehoe, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164008701 Issued in IL

Practice address

220 E Hillcrest Dr Apt 3104
Dekalb, IL 60115-2449

Phone

(630) 842-7347

NPI assigned

Dec 12, 2022

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1619688546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E HILLCREST DR APT 3104",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152449",
            "telephone_number": "630-842-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E HILLCREST DR APT 3104",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152449",
            "telephone_number": "630-842-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "ZACHARY",
        "middle_name": "JAMES",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164008701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Jay Kastler, ATC
• Nicole Katsuleas
• Cassandra Katzenberger, APN
• Hannah Kautz
• Lori Kedzie
• Michael Ann Kelly, M.S., R.D., L.D.N.
• Latosha M Kennedy, APRN, CRNA
• Megan Kennedy, BA
• Jordan David Kerbis, MHP
• Lesley Kerns-Wilson, LMT

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

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