Coral Nutrition Coach, LLC

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

Legal business name

CORAL NUTRITION COACH, LLC

Practice address

5415 S Dorchester Ave Apt BSMT
Chicago, IL 60615-5328

Phone

(773) 710-2237

Fax

(872) 244-3810

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Jessica Coral Allender, MS, RD, LDNNPI 1760894414

Title

Owner and Provider

Phone

(773) 710-2237

Specialties & licenses 1

Addresses

Other names 1

• Jessica Coral Allender dba Coral Nutrition Coach Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Coral Allender, MS, RD, LDN

  • Registered Dietitian
  • Chicago, IL
  • NPI 1760894414
  NPD Authorized official

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1649865445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 S DORCHESTER AVE APT BSMT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155328",
            "telephone_number": "773-710-2237",
            "fax_number": "872-244-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 S DORCHESTER AVE APT BSMT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155328",
            "telephone_number": "773-710-2237",
            "fax_number": "872-244-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL NUTRITION COACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "ALLENDER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "CORAL",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "773-710-2237",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica Coral Allender dba Coral Nutrition Coach",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cristin Coquillard
• Michelle Marie Cora Soto, MD
• Yamilca Cora-Fernandez
• Dashae A Cora
• Coral Heart Counseling, LLC
• Coralhearts Home Health Care (The Trao Group LLC)
• Sarah Corapi, MS, RDN, LDN
• Corazon R Benig MD SC
• Maria Corazzi
• Jessica Chavez Corbes, RN

• Pediatric Nutrition Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Nutrition Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.