Active NPI
Jainali Vyas Chanan, RD, LDN
- Obesity and Weight Management Nutrition Registered Dietitian
- Palatine, IL
National Provider Identifier
1770264160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- 929404
- Practice address
- 1139 W Glencoe Rd
Palatine, IL 60067-5958 - Phone
- (847) 654-7403
- NPI assigned
- Jul 27, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 929404 | IL | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 929404 | IL | |
| Gerontological Nutrition Registered Dietitian | 133VN1101X | 929404 | IL | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 929404 | IL | Primary |
Addresses
Primary practice location
1139 W Glencoe Rd
Palatine, IL 60067-5958
Mailing address
1139 W Glencoe Rd
Palatine, IL 60067-5958
Phone (847) 654-7403
Other names 1
- Mrs. Jainali U Vyas
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 |
|---|---|---|---|
| 929404 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1770264160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 W GLENCOE RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "600675958",
"telephone_number": "847-654-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 W GLENCOE RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "600675958",
"telephone_number": "847-654-7403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANAN",
"first_name": "JAINALI",
"middle_name": "VYAS",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "929404",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "IL",
"license": "929404",
"primary": false
},
{
"code": "133VN1101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": "IL",
"license": "929404",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "IL",
"license": "929404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAINALI",
"last_name": "VYAS",
"middle_name": "U",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.