Individual provider Active NPI

Nicole Litwin, MS, RD, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1730562703
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.006389 Issued in IL
Practice address
3247 W Fullerton Ave Apt 3W
Chicago, IL 60647-2562
Phone
(931) 319-3533
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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 164.006389 IL Primary

Addresses

Primary practice location

3247 W Fullerton Ave Apt 3W
Chicago, IL 60647-2562

Mailing address

3247 W Fullerton Ave Apt 3W
Chicago, IL 60647-2562
Phone (931) 319-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
164.006389ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Consultants, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1730562703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 W FULLERTON AVE APT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472562",
            "telephone_number": "931-319-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 W FULLERTON AVE APT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472562",
            "telephone_number": "931-319-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITWIN",
        "first_name": "NICOLE",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.006389",
            "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 8, 2015; 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.