Active NPI
Amber Rosalez, RDN, LDN
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1891158473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.007120
- Practice address
- 150 E Huron St FL 13
Chicago, IL 60611-2999 - Phone
- (312) 964-4686
- Fax
- (312) 915-0249
- NPI assigned
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 164.007120 | IL | Primary |
Addresses
Primary practice location
150 E Huron St FL 13
Chicago, IL 60611-2999
Mailing address
150 E Huron St FL 13
Chicago, IL 60611-2999
Phone (312) 964-4686
Other practice location 1
826 Parchment Dr SE
Suite 100
Grand Rapids, MI 49546-2307
Phone (616) 957-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.007120 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Body Co-Op | Dietitian, Registered | Past | Accepting new patients |
| Mind Body Co-Op | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1750668091
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1770174559
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1891158473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E HURON ST FL 13",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112999",
"telephone_number": "312-964-4686",
"fax_number": "312-915-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E HURON ST FL 13",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112999",
"telephone_number": "312-964-4686",
"fax_number": "312-915-0249"
}
],
"practiceLocations": [
{
"address_1": "826 Parchment Dr SE",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495462307",
"country_code": "US",
"telephone_number": "616-957-7700",
"fax_number": "616-957-7773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSALEZ",
"first_name": "AMBER",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.007120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.