Katherine A Ingle, RD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

164.006904 Issued in IL

Practice address

840 South Wood Street
Pediatric Genetics 12TH Floor M/C 856
Chicago, IL 60612

Phone

(312) 996-9283

Fax

(312) 355-0739

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Illinois Department of Pediatrics

  • Genetics Clinic/Center
  • Chicago, IL
  • NPI 1336599463
  NPD (past)

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1699368787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SOUTH WOOD STREET",
            "address_2": "PEDIATRIC GENETICS 12TH FLOOR M/C 856",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-9283",
            "fax_number": "312-355-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SOUTH WOOD STREET",
            "address_2": "PEDIATRIC GENETICS 12TH FLOOR M/C 856",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-9283",
            "fax_number": "312-355-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLE",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "164.006904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Halimatu Sadiyya Ingawa
• Thomas Inge, MD
• Amy Ingeneri, MD
• Betty N Ingente, PHARMACIST
• Jason Wayne Ingham, DC, CCSP
• Amy Clare Ingraffia, ATC
• Melissa Vastoria Ingraham Pickens
• Brooke Alexis Ingraham
• Britany Ingram
• Emily Elizabeth Ingram

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.