Active NPI
Becky Lynn Bohn, R.N.
- Nutritionist
- Chicago, IL
National Provider Identifier
1760632889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 041-161905
- Practice address
- 111 N Wabash Ave
Suite 1321
Chicago, IL 60602-1903 - Phone
- (312) 726-6761
- NPI assigned
- Sep 25, 2008
- 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 | 041-161905 | IL | Primary |
Addresses
Primary practice location
111 N Wabash Ave
Suite 1321
Chicago, IL 60602-1903
Mailing address
111 N Wabash Ave
Suite 1321
Chicago, IL 60602-1903
Phone (312) 726-6761
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-161905 | IL | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1760632889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WABASH AVE",
"address_2": "SUITE 1321",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021903",
"telephone_number": "312-726-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N WABASH AVE",
"address_2": "SUITE 1321",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021903",
"telephone_number": "312-726-6761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHN",
"first_name": "BECKY",
"middle_name": "LYNN",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": "041-161905",
"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 Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.