Vasanthi Prabhaker, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.001244 Issued in IL

Practice address

308 Randall Rd Ste B
Geneva, IL 60134-4201

Phone

(630) 315-1700

Fax

(630) 938-8330

NPI assigned

Dec 4, 2006

Last updated

Dec 30, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centegra Primary Care, LLC

  dba Centegra Physician Care, LLC

  • Family Medicine Physician
  • Woodstock, IL
  • NPI 1700905205
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1730247701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 RANDALL RD STE B",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344201",
            "telephone_number": "630-315-1700",
            "fax_number": "630-938-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 RANDALL RD STE B",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344201",
            "telephone_number": "630-315-1700",
            "fax_number": "630-938-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601376101",
            "country_code": "US",
            "telephone_number": "630-315-1830",
            "fax_number": "630-315-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "626 Bethany Rd",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601154939",
            "country_code": "US",
            "telephone_number": "815-748-8378",
            "fax_number": "815-748-8356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 N Main St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "IL",
            "postal_code": "605481399",
            "country_code": "US",
            "telephone_number": "815-786-3684",
            "fax_number": "815-786-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRABHAKER",
        "first_name": "VASANTHI",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.001244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Poss, LCPC,LMFT
• Lauren E. Poteet, CRNA
• Stacy Potwin, O.D.
• Brian Reza Poustinchian, D.O.
• George Powell, M.D.
• Prairie Path Podiatry, P.C.
• Jeanna Pritchett, MA
• Elizabeth Proctor, L. AC., DIPL. OM
• Kelsey Proctor
• Arthur Proust, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.