Active NPI
Jennifer Gunness, RD, LDN, CNSC
- Registered Dietitian
- Spring Valley, IL
National Provider Identifier
1801145305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164004787
- Practice address
- 600 E 1St St
Spring Valley, IL 61362-1512 - Phone
- (815) 664-1360
- NPI assigned
- Aug 30, 2012
- Last updated
- Aug 30, 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 | 164004787 | IL | Primary |
Addresses
Primary practice location
600 E 1St St
Spring Valley, IL 61362-1512
Mailing address
600 E 1St St
Spring Valley, IL 61362-1512
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164004787 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1801145305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E 1ST ST",
"city": "SPRING VALLEY",
"state": "IL",
"postal_code": "613621512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E 1ST ST",
"city": "SPRING VALLEY",
"state": "IL",
"postal_code": "613621512",
"telephone_number": "815-664-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNESS",
"first_name": "JENNIFER",
"credential": "RD, LDN, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164004787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, IL
- Eyesite-Illinois Valley, LLC (Illinois Valley Eye Care)
- Deana Marie Giacalone
- Goldwater Care Spring Valley LLC (Goldwater Care Spring Valley)
- Goldwater Care Spring Valley LLC (Goldwater Care Spring Valley)
- Christine M. Greene, FNP
- Kati Jean Hagenbuch, MA, CCC-SLP/L
- Hall Township HS Dist 502
- Mary Ann Hall, CRNA
- Amy Harp, MS, RD, LDN
- Peggy Helm, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.