Active NPI
Natalie Dekoker, RN, CDE
- Registered Dietitian
- Downers Grove, IL
National Provider Identifier
1679852446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 041316209
- Practice address
- 3743 Highland Ave
1001
Downers Grove, IL 60515-1594 - Phone
- (630) 435-6136
- NPI assigned
- Aug 11, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 041316209 | IL | Primary |
Addresses
Primary practice location
3743 Highland Ave
1001
Downers Grove, IL 60515-1594
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0001
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041316209 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1679852446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3743 HIGHLAND AVE",
"address_2": "1001",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151594",
"telephone_number": "630-435-6136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEKOKER",
"first_name": "NATALIE",
"credential": "RN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "041316209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.