Individual provider Active NPI

Casey Harms, RD,LDN

  • Registered Dietitian
  • Westmont, IL
National Provider Identifier
1780106542
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.006603 Issued in IL
Practice address
350 E Ogden Ave Ste 200
Westmont, IL 60559-1289
Phone
(630) 908-7430
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.006603 IL Primary

Addresses

Primary practice location

350 E Ogden Ave Ste 200
Westmont, IL 60559-1289

Mailing address

6831 Grand Ave
Downers Grove, IL 60516-3652

Other practice location 1

6901 S Madison St
Burr Ridge, IL 60527-5595
Phone (630) 590-5409

Other practice location 2

16622 W 159th St Ste 503
Lockport, IL 60441-8015
Phone (815) 838-5070

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

LicenseStateTypeSpecialty
164.006603ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Theracore, Inc. PastSince Apr 18, 2008 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780106542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 GRAND AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E OGDEN AVE STE 200",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591289",
            "telephone_number": "630-908-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605275595",
            "country_code": "US",
            "telephone_number": "630-590-5409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16622 W 159th St Ste 503",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "IL",
            "postal_code": "604418015",
            "country_code": "US",
            "telephone_number": "815-838-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMS",
        "first_name": "CASEY",
        "credential": "RD,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.006603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.