James D. Vail IV, DIETITIAN

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

1001 Green Bay Rd
# 195
Winnetka, IL 60093-6009

Phone

(847) 784-8812

Fax

(847) 784-8812

NPI assigned

Aug 16, 2017

Sex

Male

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)

Not enrolled

Practice roles

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.

• Mainstay, Inc,

  • Dietary Manager
  • Winnetka, IL
  • NPI 1497287577
  NPD (past) Authorized official

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1740706266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GREEN BAY RD",
            "address_2": "# 195",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931721",
            "telephone_number": "847-784-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GREEN BAY RD",
            "address_2": "# 195",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600936009",
            "telephone_number": "847-784-8812",
            "fax_number": "847-784-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIL",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi A Tough Desapri, M.D.
• Tree Streets Dental, LLC
• Victoria Trendafilova, MD
• Aimee Lailani Treto, BCBA
• Karen Nelson Tzanetopoulos, M.S., CCC-SLP
• Kenneth A Vatz, M.D.
• Village Internal Medicine, LTD
• Village of Winnetka
• Erin Vollmer, MS,CCC-SLP
• Janet M Voss, LCPC

• Nutritionist in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Nutritionist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.