Midwest Dietitian, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

727118 Issued in IL

Legal business name

MIDWEST DIETITIAN, INC.

Practice address

4300 Commerce CT Ste 250
Lisle, IL 60532-3698

Phone

(630) 487-7283

Fax

(630) 305-8549

NPI assigned

May 25, 2016

Last updated

Mar 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamara Waldschmidt, RD, LDN, CEDRD

Title

Owner/Dietitian

Phone

(630) 487-7283

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1750739165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 COMMERCE CT STE 250",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323698",
            "telephone_number": "630-487-7283",
            "fax_number": "630-305-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 COMMERCE CT STE 250",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323698",
            "telephone_number": "630-487-7283",
            "fax_number": "630-305-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DIETITIAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "WALDSCHMIDT",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "630-487-7283",
        "authorized_official_credential": "RD, LDN, CEDRD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "727118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.