NPIMap

Organization Active NPI

River North Nutrition LLC

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1699168211
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.006219 Issued in IL
Legal business name
RIVER NORTH NUTRITION LLC
Practice address
10 E Ontario St
Unit 4506
Chicago, IL 60611-2736
Phone
(872) 225-0838
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Maya Friedman, MPH, RD, LDN
Title
Owner
Phone
(916) 667-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 164.006219 IL Primary

Addresses

Primary practice location

10 E Ontario St
Unit 4506
Chicago, IL 60611-2736

Mailing address

10 E Ontario St
Unit 4506
Chicago, IL 60611-2736
Phone (872) 225-0838

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1699168211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E ONTARIO ST",
            "address_2": "UNIT 4506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112736",
            "telephone_number": "872-225-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E ONTARIO ST",
            "address_2": "UNIT 4506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112736",
            "telephone_number": "872-225-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER NORTH NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-667-2020",
        "authorized_official_credential": "MPH, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.006219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 6, 2015; 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.