Individual provider Active NPI

Katherine Elizabeth Driessens, RD, LDN

  • Registered Dietitian
  • Warrenville, IL
National Provider Identifier
1700165206
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164005507 Issued in IL
Practice address
27475 Ferry Rd
Warrenville, IL 60555-3808
Phone
(815) 499-4184
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164005507 IL Primary

Addresses

Primary practice location

27475 Ferry Rd
Warrenville, IL 60555-3808

Mailing address

352 Berry Dr
Naperville, IL 60540-5133
Phone (815) 499-4184

Other practice location 1

430 Pennsylvania Ave
#310
Glen Ellyn, IL 60137-4464
Phone (630) 286-5090

Other practice location 2

352 Berry Dr
Naperville, IL 60540-5133
Phone (815) 499-4184

Other names 1

  • Katherine Elizabeth Adell Former 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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1700165206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 BERRY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405133",
            "telephone_number": "815-499-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27475 FERRY RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553808",
            "telephone_number": "815-499-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Pennsylvania Ave",
            "address_2": "#310",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601374464",
            "country_code": "US",
            "telephone_number": "630-286-5090",
            "fax_number": "630-545-7845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "352 Berry Dr",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605405133",
            "country_code": "US",
            "telephone_number": "815-499-4184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRIESSENS",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "ADELL",
            "middle_name": "ELIZABETH",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.