Organization Active NPI

Nutrition Ambitions

  • Registered Dietitian
  • Oak Forest, IL
National Provider Identifier
1881331817
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on May 20, 2022

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.