Active NPI
Mary Jane Verik, R.D. L.D.
- Registered Dietitian
- Naperville, IL
National Provider Identifier
1821318759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- #164-00050
- Practice address
- 2029 Mustang Dr.
Naperville, IL 60565 - Phone
- (630) 753-9270
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | #164-00050 | IL | Primary |
Addresses
Primary practice location
2029 Mustang Dr.
Naperville, IL 60565
Mailing address
2029 Mustang Dr.
Naperville, IL 60565
Phone (630) 753-9270
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #164-00050 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1821318759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 MUSTANG DR.",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60565",
"telephone_number": "630-753-9270",
"fax_number": "630-753-9271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 MUSTANG DR.",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60565",
"telephone_number": "630-753-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERIK",
"first_name": "MARY JANE",
"name_prefix": "Mrs.",
"credential": "R.D. L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "#164-00050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.