Individual provider Active NPI

Elizabeth Ann O'Malley, RD, LDN

  • Registered Dietitian
  • Westmont, IL
National Provider Identifier
1740586924
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164003575 Issued in IL
Practice address
460 Quail Ridge Dr
Westmont, IL 60559-6145
Phone
(630) 986-2800
Fax
(630) 986-2440
NPI assigned
Feb 4, 2011
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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 164003575 IL Primary

Addresses

Primary practice location

460 Quail Ridge Dr
Westmont, IL 60559-6145

Mailing address

460 Quail Ridge Dr
Westmont, IL 60559-6145
Phone (630) 986-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.o.malley.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170802000816 IL Practitioner - Registered Dietitian Or Nutrition Professional 1456622976 Reassigns benefits to 1 organization
I20260416003705 MA Practitioner - Registered Dietitian Or Nutrition Professional 1456622976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seen Medical Group of Il PCGroup PAC ID 4183126261, 15 clinicians

Practice addresses (Care Compare)

25 E Schaumburg Rd
Schaumburg, IL 60194-3550
Phone (630) 986-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164003575ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Seen Medical Group of Il, PC Dietitian, Registered CurrentSince Jun 28, 2025 Accepting new patients
Parsley Medical Group FL PA Past Accepting new patients
Known Chicago SC Dietitian, Registered Past Accepting new patients
Seen Medical Group, P.a. Dietitian, Registered Past Accepting new patients

Locations

25 E Schaumburg Rd
Schaumburg, IL 60194
Phone (847) 985-9390

25 E Schaumburg Rd
Ste 101
Schaumburg, IL 60194
Phone (630) 333-6218

460 Quail Ridge Dr
Westmont, IL 60559
Phone (630) 887-2900

15 Oak St
Ste 3
Needham, MA 02492
Phone (339) 499-9518

Organizations & group practices 5

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": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1740586924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 QUAIL RIDGE DR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596145",
            "telephone_number": "630-986-2800",
            "fax_number": "630-986-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 QUAIL RIDGE DR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596145",
            "telephone_number": "630-986-2800",
            "fax_number": "630-986-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164003575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.o.malley.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "460 Quail Ridge Dr",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605596145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.