Individual provider Active NPI

Jill Weisman

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1710878202
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164022274 Issued in IL
Practice address
2550 N Lakeview Ave
Chicago, IL 60614-2045
Phone
(847) 917-5050
NPI assigned
Jul 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 164022274 IL Primary

Addresses

Primary practice location

2550 N Lakeview Ave
Chicago, IL 60614-2045

Mailing address

3215 N Elston Ave Apt 1S
Chicago, IL 60618-5850
Phone (847) 917-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113004667 VA Practitioner - Registered Dietitian Or Nutrition Professional 9830680289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1309 Jamestown Rd
Suite 102
Williamsburg, VA 23185-3380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164022274ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Weisman Nutrition LLC Dietitian, Registered CurrentSince Sep 8, 2025 Accepting new patients
Lwell LLC Dietitian, Registered CurrentSince Sep 9, 2025 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

3705 Strawberry Plains Rd
Ste B
Williamsburg, VA 23188

1309 Jamestown Rd
Ste 102
Williamsburg, VA 23185
Phone (757) 220-4917

Organizations & group practices 3

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": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1710878202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 N ELSTON AVE APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185850",
            "telephone_number": "847-917-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 N LAKEVIEW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142045",
            "telephone_number": "847-917-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164022274",
            "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 Jul 31, 2025; 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.