Richelle L Gomez, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164006870 Issued in IL

Practice address

10450 Algonquin Rd Ste 100a
Huntley, IL 60142-7064

Phone

(815) 334-5566

Fax

(847) 802-7259

NPI assigned

May 2, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1801322441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 ALGONQUIN RD STE 100A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427064",
            "telephone_number": "815-334-5566",
            "fax_number": "847-802-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 ALGONQUIN RD STE 100A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427064",
            "telephone_number": "815-334-5566",
            "fax_number": "847-802-7259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 Doty Rd Ste G&h",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987530",
            "country_code": "US",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Station Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147994",
            "country_code": "US",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "RICHELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164006870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ramon A Gonzalez, M.D.
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• Andrew J Graff, LCSW
• Ryan Graff
• Christopher L Graves, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.