Organization Active NPI

Encouraged to Nourish LLC

  • Registered Dietitian
  • Northbrook, IL
National Provider Identifier
1770101248
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ENCOURAGED TO NOURISH LLC
Practice address
240 Red Oak Rd
Northbrook, IL 60062-1319
Phone
(312) 401-5111
NPI assigned
Jul 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Patricia Coleman, RDN, LDN, CSSDNPI 1487272746
Title
Founder, Dietitian
Phone
(312) 401-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Sports Dietetics Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1501X

Addresses

Primary practice location

240 Red Oak Rd
Northbrook, IL 60062-1319

Mailing address

240 Red Oak Rd
Northbrook, IL 60062-1319
Phone (312) 401-5111

Other identifiers 2

IdentifierTypeStateIssuer
954008OtherREGISTERED DIETITIAN NUTRITIONIST (CDR)
164.004614OtherILLICENSED DIETITIAN NUTRITIONIST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1770101248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 RED OAK RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621319",
            "telephone_number": "312-401-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 RED OAK RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621319",
            "telephone_number": "312-401-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOURAGED TO NOURISH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "FOUNDER, DIETITIAN",
        "authorized_official_telephone_number": "312-401-5111",
        "authorized_official_credential": "RDN, LDN, CSSD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN NUTRITIONIST (CDR)",
            "identifier": "954008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN NUTRITIONIST",
            "identifier": "164.004614",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.