Angela Perizes, RD,LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164007092 Issued in IL

Practice address

1943 S May St # 1F
Chicago, IL 60608-3359

Phone

(312) 549-8866

Fax

(312) 549-8861

NPI assigned

May 30, 2017

Last updated

Apr 2, 2020By the provider in NPPES

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: aperizes@prohealthprevention.com

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1881122232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 S MAY ST # 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083359",
            "telephone_number": "312-549-8866",
            "fax_number": "312-549-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 S MAY ST # 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083359",
            "telephone_number": "312-549-8866",
            "fax_number": "312-549-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIZES",
        "first_name": "ANGELA",
        "credential": "RD,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164007092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164007092",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aperizes@prohealthprevention.com",
            "affiliation": "N",
            "address_1": "1943 S May St # 1F",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606083359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Periodontal Associates, LLP
• Periodontal Medicine and Surgical Specialists, LLC
• Periodontics & Dental Implant Center LTD
• Periodontics and Implant Dentistry LLC
• Periodontics LTD.
• Eric Perkey, MD
• Perkins Enterprise Limited Liability Company
• Anquenette M Perkins, PHD, LCSW, PMH-C
• Ashley Perkins, MS, CCC-SLP
• Brytrina Perkins, LCSW, CADC

• 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 Apr 2, 2020; 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.