Pamela Lynn Patt, RD, CSP, LD, CNSC

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

164.000490 Issued in IL

Practice address

2211 N Oak Park Ave
Chicago, IL 60707-3351

Phone

(773) 385-5436

NPI assigned

Oct 2, 2013

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

Medicare fee-for-service enrollment

Enrolled in IL, MO, MN3 enrollments

Enrollment records 3

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1871930693
  Medicare reassignment NPD
• Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Saint Louis, MO
  • NPI 1275970295
  Medicare reassignment NPD
• Shriners Hospitals for Children

  • Rehabilitation Clinic/Center
  • Woodbury, MN
  • NPI 1285250977
  Medicare reassignment NPD
• Shriners Hospitals for Children

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1326536574
  NPD
• Shriners Hospitals for Children

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1710314927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 N OAK PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073351",
            "telephone_number": "773-385-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 N OAK PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073351",
            "telephone_number": "773-385-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATT",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "credential": "RD, CSP, LD, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "IL",
            "license": "164.000490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor German Patron Romero, M.D.
• Sophia Elizabeth Patroulis Lessig
• Yana Patrun, LCPC
• Keely Patt, LCSW
• Kenneth James Patt, MD
• Stephen Lee Patt, M.D.
• Mandar A Pattekar, M.D.
• Shruti Pattekar, DO
• William Davis Patten
• Patterns and Threads Psychotherapy & Consultation PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.