Lindsey Ann Oettel, MBA, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.008574 Issued in IL

Practice address

1714 Milwaukee Ave
Glenview, IL 60025-1441

Phone

(847) 699-6810

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Interoperability endpoints

• Direct secure messaging: drprodromos@ismoc.ssdirect.aprima.com

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1790440980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S STONE AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252247",
            "telephone_number": "708-256-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 MILWAUKEE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251441",
            "telephone_number": "847-699-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETTEL",
        "first_name": "LINDSEY",
        "middle_name": "ANN",
        "credential": "MBA, RDN,  LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.008574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drprodromos@ISMOC.ssdirect.aprima.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1714 Milwaukee Ave",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600251441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Theresa O'Toole, M.S., OTR/L
• Hira Oad, APN
• Jerome Ordinario Ocampo, PT
• Monica Rocafort Ocampo, OCCUPATIONAL THERAPI
• Moris Odeesh
• Madeline Barbara Ofner
• Kevin Ogawa
• Lauren Murphy Oggerino
• Deborah A Ognar
• Katelyn Ogrady, OTR/L

• Registered Dietitian in Glenview, IL
• Providers in Glenview, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.