Individual provider Active NPI

Priscilla Nwamy Monu, MS,RD,LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1669703666
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.004009 Issued in IL
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

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
164.004009ILMDNutritionist

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.

Verify at the official NPI Registry.