Brightside Nutrition Counseling

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BRIGHTSIDE NUTRITION COUNSELING

Practice address

1 E Erie St Ste 525
Chicago, IL 60611-2980

Phone

(224) 357-6599

NPI assigned

Aug 25, 2020

Last updated

Sep 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blair Hayes, RDN, LDNNPI 1356953004

Title

Registered Dietitian Nutritionist

Phone

(806) 523-9265

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blair J Hayes, RDN, LDN

  • Registered Dietitian
  • Chicago, IL
  • NPI 1356953004

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1720691280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525",
            "address_2": "#227",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112980",
            "telephone_number": "224-357-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 525",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112980",
            "telephone_number": "224-357-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE NUTRITION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "806-523-9265",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brightsmiles Pediatric Dentistry
• Brightview Care Center, Inc.
• Brightwater & Associates LLC
• Brightwell Health LLC
• William Matthew Brigode, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.