NPIMap

Organization Active NPI

Cupp Nutrition Services, Inc

  • Registered Dietitian
  • Frankfort, IL
National Provider Identifier
1730537267
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.000250 Issued in IL
Legal business name
CUPP NUTRITION SERVICES, INC
Practice address
733 Spruce Rd
Frankfort, IL 60423-1039
Phone
(815) 263-4402
Fax
(815) 464-9734
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Marlene Cupp, RD, LDNNPI 1982720215
Title
Dietitan
Phone
(815) 464-9734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 164.000250 IL Primary

Addresses

Primary practice location

733 Spruce Rd
Frankfort, IL 60423-1039

Mailing address

733 Spruce Rd
Frankfort, IL 60423-1039
Phone (815) 263-4402

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1730537267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 SPRUCE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231039",
            "telephone_number": "815-263-4402",
            "fax_number": "815-464-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 SPRUCE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231039",
            "telephone_number": "815-263-4402",
            "fax_number": "815-464-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUPP NUTRITION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "CUPP",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "DIETITAN",
        "authorized_official_telephone_number": "815-464-9734",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.000250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.