Jamie Alyssa Shifley, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.004150 Issued in IL

Practice address

6211 Park Ave
Downers Grove, IL 60516-1917

Phone

(630) 886-6095

NPI assigned

Mar 1, 2019

Last updated

Mar 1, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• At Home With the Dietitian

  • Registered Dietitian
  • Downers Grove, IL
  • NPI 1912854555

  Dietitian, Registered

  NPD Authorized official
• Anthony J Martino SC

  dba NorthPark Medical Group

  • Internal Medicine Physician
  • Melrose Park, IL
  • NPI 1770617862
  NPD
• Three Point Healthcare LLC

  • Physical Therapist
  • Mokena, IL
  • NPI 1124535240

  Dietitian, Registered

  NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1881151488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 PARK AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161917",
            "telephone_number": "630-886-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 PARK AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161917",
            "telephone_number": "630-886-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFLEY",
        "first_name": "JAMIE",
        "middle_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN NUTRITIONIST",
            "identifier": "164.004150",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim M Sheehan, PTA
• Elizabeth Shelus, O.D.
• Tsungyao Robert Sheng, D.C.
• Sherif Albert DDS, PC (Esplanade Dental Care)
• Shannon K Sherman
• Kee Dong Shin, M.D.
• Anjali Shirpurkar
• Lilit Shishikyan, PHARMD
• Eliza Shroba
• Nikita Shroff, PHARM D.

• Registered Dietitian in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.