Individual provider Active NPI

Deanna Marie Rondero, MBA, RD, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1790393296
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.006722 Issued in IL
Practice address
1702 W 35TH St Apt 2
Chicago, IL 60609-1223
Phone
(559) 408-8112
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 164.006722 IL Primary

Addresses

Primary practice location

1702 W 35TH St Apt 2
Chicago, IL 60609-1223

Mailing address

1702 W 35TH St Apt 2
Chicago, IL 60609-1223
Phone (559) 408-8112

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
164.006722ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourished Transitions PLLC Dietitian, Registered CurrentSince Sep 15, 2024 Accepting new patients

Locations

1702 W 35th St
#2
Chicago, IL 60609
Phone (559) 408-8112

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1790393296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 W 35TH ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091223",
            "telephone_number": "559-408-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 W 35TH ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091223",
            "telephone_number": "559-408-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDERO",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "credential": "MBA, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.006722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.