Active NPI
Priscilla Nwamy Monu, MS,RD,LDN
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1669703666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.004009
- Practice address
- 1029 E 130TH St
1029 E 130TH St
Chicago, IL 60628-6908 - Phone
- (773) 995-6300
- Fax
- (773) 995-6179
- NPI assigned
- Jan 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 164.004009 | IL | |
| Registered Dietitian | 133V00000X | 164.004009 | IL | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 164.004009 | IL | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 164.004009 | IL | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 164.004009 | IL |
Addresses
Primary practice location
1029 E 130TH St
1029 E 130TH St
Chicago, IL 60628-6908
Mailing address
2924 W 83Rd St
2924 W 83Rd St
Chicago, IL 60652-3404
Phone (773) 995-6300
Other names 1
- Mrs. Priscilla Nwamu Monu
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
| License | State | Type | Specialty |
|---|---|---|---|
| 164.004009 | IL | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1669703666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 W 83RD ST",
"address_2": "2924 W 83RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606523404",
"telephone_number": "773-995-6300",
"fax_number": "773-995-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 E 130TH ST",
"address_2": "1029 E 130TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606286908",
"telephone_number": "773-995-6300",
"fax_number": "773-995-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONU",
"first_name": "PRISCILLA",
"middle_name": "NWAMY",
"name_prefix": "Mrs.",
"credential": "MS,RD,LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": "164.004009",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.004009",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "IL",
"license": "164.004009",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "IL",
"license": "164.004009",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "IL",
"license": "164.004009",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRISCILLA",
"last_name": "MONU",
"middle_name": "NWAMU",
"prefix": "MRS.",
"credential": "MS,RD,LDN",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.