Active NPI
Cultivate Nutrition
- Registered Dietitian
- Grayslake, IL
National Provider Identifier
1790591378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- CULTIVATE NUTRITION
- Practice address
- 316 Gatewood LN
Grayslake, IL 60030-3731 - Phone
- (847) 651-1384
- NPI assigned
- Dec 9, 2024
- Last updated
- Dec 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashleigh Hansen
- Title
- Registered Dietitian
- Phone
- (847) 651-1384
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
316 Gatewood LN
Grayslake, IL 60030-3731
Mailing address
316 Gatewood LN
Grayslake, IL 60030-3731
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1790591378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 GATEWOOD LN",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600303731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 GATEWOOD LN",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600303731",
"telephone_number": "847-651-1384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CULTIVATE NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "ASHLEIGH",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "847-651-1384"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.