Elizabeth Shea Beatty Kwarta, ELIZABETH BEATTY RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164004271 Issued in IL

Practice address

5841 S Maryland Ave
Chicago, IL 60637-1447

Phone

(773) 702-1489

NPI assigned

May 5, 2010

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

Other names 1

• Elizabeth Shea Beatty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1831417591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 16TH ST UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161187",
            "telephone_number": "970-218-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY KWARTA",
        "first_name": "ELIZABETH",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "ELIZABETH BEATTY RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BEATTY",
            "middle_name": "SHEA",
            "credential": "ELIZABETH BEATTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keesha Beasley, AMFT
• Martha Kemp Beasley, RN
• Beata S Bednarska MD PC
• Beatrice Home Health, Inc.
• Beats Health Inc
• Andrew Glenn Beatty, PSYD
• Dana L Beatty, CNM CERTIFIED NURSE
• Melanie Beatty, M.S.,CCC-SLP
• Sarah Gallagher Beatty, LCSW
• Ashley Crystal Beaty, CPHT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.