Active NPI
Kailyn Marie Helgeson, NUTRITIONIST
- Nutritionist
- Lake Zurich, IL
National Provider Identifier
1760121685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 10549
- Practice address
- 444 S Rand Rd Ste 211
Lake Zurich, IL 60047-2307 - Phone
- (224) 475-1223
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 10549 | WI | Primary |
Addresses
Primary practice location
444 S Rand Rd Ste 211
Lake Zurich, IL 60047-2307
Mailing address
2277 Quarry LN
Onalaska, WI 54650-8433
Phone (608) 386-8456
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10549 | WI | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1760121685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2277 QUARRY LN",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546508433",
"telephone_number": "608-386-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S RAND RD STE 211",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600472307",
"telephone_number": "224-475-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELGESON",
"first_name": "KAILYN",
"middle_name": "MARIE",
"credential": "NUTRITIONIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "WI",
"license": "10549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.