Individual provider Active NPI

Anne M Lauterjung, MNT

  • Registered Dietitian
  • Ottawa, IL
National Provider Identifier
1881614857
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164000314 Issued in IL
Practice address
1614 E Norris Dr
Ottawa, IL 61350-3681
Phone
(815) 434-2273
Fax
(815) 433-0067
NPI assigned
Jul 20, 2006
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164000314 IL Primary

Addresses

Primary practice location

1614 E Norris Dr
Ottawa, IL 61350-3681

Mailing address

1614 E Norris Dr
Ottawa, IL 61350-3681
Phone (158) 434-2273

Other practice location 1

333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133 ext. 2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000526 IL Practitioner - Registered Dietitian Or Nutrition Professional 2668657826 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164000314ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Jan 13, 2023 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jan 13, 2023 Accepting new patients
Sodexo Operations LLC Dietitian, Registered CurrentSince Nov 11, 2015 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jan 13, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint James Hospital CurrentSince Jan 13, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 8, 2019 Accepting new patients

Locations

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1614 E Norris Dr
Ottawa, IL 61350
Phone (815) 433-1010

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

111 Spring St
Streator, IL 61364
Phone (815) 672-4587

111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587

115 Pheasant Run
Ste 106
Newtown, PA 18940

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1881614857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E NORRIS DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503681",
            "telephone_number": "158-434-2273",
            "fax_number": "815-433-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E NORRIS DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503681",
            "telephone_number": "815-434-2273",
            "fax_number": "815-433-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Madison St",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358200",
            "country_code": "US",
            "telephone_number": "815-725-7133 x2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUTERJUNG",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "MNT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164000314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.