Active NPI
Wendy Arnold
- Metabolic Nutrition Registered Dietitian
- Joliet, IL
National Provider Identifier
1861883407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 164.003490
- Practice address
- 2614 W Jefferson St
Joliet, IL 60435-6433 - Phone
- (815) 725-1355
- Fax
- (815) 725-9867
- NPI assigned
- Feb 17, 2015
- Last updated
- Feb 17, 2015
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 164.003490 | IL | Primary |
Addresses
Primary practice location
2614 W Jefferson St
Joliet, IL 60435-6433
Mailing address
2614 W Jefferson St
Joliet, IL 60435-6433
Phone (815) 725-1355
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 |
|---|---|---|---|
| 164.003490 | IL | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devine Nutrition Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Palos Hills, IL
- NPI 1982012241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1861883407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2614 W JEFFERSON ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356433",
"telephone_number": "815-725-1355",
"fax_number": "815-725-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2614 W JEFFERSON ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356433",
"telephone_number": "815-725-1355",
"fax_number": "815-725-9867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "WENDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "IL",
"license": "164.003490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.