Jessica Coral Allender, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.004016 Issued in IL

Practice address

6116 S University Ave
Apt 1S
Chicago, IL 60637-3182

Phone

(773) 710-2237

Fax

(773) 966-4119

NPI assigned

May 29, 2014

Last updated

May 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coral Nutrition Coach, LLC

  • Pediatric Nutrition Registered Dietitian
  • Chicago, IL
  • NPI 1649865445
  NPD Authorized official

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1760894414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 S UNIVERSITY AVE",
            "address_2": "APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606373182",
            "telephone_number": "773-710-2237",
            "fax_number": "773-966-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 S UNIVERSITY AVE",
            "address_2": "APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606373182",
            "telephone_number": "773-710-2237",
            "fax_number": "773-966-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENDER",
        "first_name": "JESSICA",
        "middle_name": "CORAL",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allen's Family Counseling Center, Inc.
• Matthew Isaac Allerton
• Devona Brown Alleyne
• Robert Alleyne, MD
• Allgeier Chiropractic LTD
• Michael A. Allgeier Jr., DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.