Individual provider Active NPI

Maureen B. Newsham

  • Registered Dietitian
  • Elmhurst, IL
National Provider Identifier
1821243510
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.002667 Issued in IL
Practice address
629 S Hillcrest Ave
Elmhurst, IL 60126-4617
Phone
(630) 379-7606
NPI assigned
Nov 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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 164.002667 IL Primary

Addresses

Primary practice location

629 S Hillcrest Ave
Elmhurst, IL 60126-4617

Mailing address

629 S Hillcrest Ave
Elmhurst, IL 60126-4617

Other names 1

  • Maureen Newsham Professional name

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

LicenseStateTypeSpecialty
164.002667ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Orthopedic Rehabilitation Institute,Inc PastSince Nov 26, 2002 Accepting new patients
South Suburban Open MRI of Orland, LLC Past Accepting new patients

Organizations & group practices 2

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": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1821243510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S HILLCREST AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S HILLCREST AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264617",
            "telephone_number": "630-379-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSHAM",
        "first_name": "MAUREEN",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.002667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "NEWSHAM",
            "credential": "RD, CDE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.