Active NPI
Elizabeth Ashley Hammortree, R.D., C.D.E
- Registered Dietitian
- Waukegan, IL
National Provider Identifier
1770844946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164005473
- Practice address
- 2400 Belvidere Rd
Waukegan, IL 60085-6165 - Phone
- (847) 984-5255
- NPI assigned
- Jun 5, 2012
- 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 | 164005473 | IL | Primary |
Addresses
Primary practice location
2400 Belvidere Rd
Waukegan, IL 60085-6165
Mailing address
2400 Belvidere Rd
Waukegan, IL 60085-6165
Phone (847) 984-5255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164.005473 | Other | IL | STATE LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1770844946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 BELVIDERE RD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600856165",
"telephone_number": "847-984-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 BELVIDERE RD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600856165",
"telephone_number": "847-984-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMORTREE",
"first_name": "ELIZABETH",
"middle_name": "ASHLEY",
"credential": "R.D., C.D.E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164005473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "164.005473",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.