Active NPI
Nutrition Ambitions
- Registered Dietitian
- Oak Forest, IL
National Provider Identifier
1881331817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION AMBITIONS
- Practice address
- 6830 W Winding TRL Unit 102
Oak Forest, IL 60452-5216 - Phone
- (708) 446-4355
- NPI assigned
- May 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha Gerry, MS RD LDN
- Title
- Dietitian
- Phone
- (708) 446-4355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
6830 W Winding TRL Unit 102
Oak Forest, IL 60452-5216
Mailing address
6830 W Winding TRL Unit 102
Oak Forest, IL 60452-5216
Phone (708) 446-4355
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Oak Forest, IL
- NPI 1225785975
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653004800000",
"number": "1881331817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 W WINDING TRL UNIT 102",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604525216",
"telephone_number": "708-446-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 W WINDING TRL UNIT 102",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604525216",
"telephone_number": "708-446-4355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION AMBITIONS",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-20",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A",
"authorized_official_last_name": "GERRY",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "DIETITIAN",
"authorized_official_telephone_number": "708-446-4355",
"authorized_official_credential": "MS RD LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.