Active NPI
Patricia Speirs
- Registered Dietitian
- Orland Park, IL
National Provider Identifier
1760657209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.001536
- Practice address
- 15300 West Ave
Orland Park, IL 60462-4600 - Phone
- (708) 923-4145
- Fax
- (708) 923-4169
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.001536 | IL | Primary |
Addresses
Primary practice location
15300 West Ave
Orland Park, IL 60462-4600
Mailing address
12251 S 80TH Ave
Palos Heights, IL 60463-1256
Phone (708) 923-4145
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.001536 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1760657209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631256",
"telephone_number": "708-923-4145",
"fax_number": "708-923-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15300 WEST AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624600",
"telephone_number": "708-923-4145",
"fax_number": "708-923-4169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEIRS",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.001536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.