Active NPI
Kathleen Sheldon, RD
- Pediatric Nutrition Registered Dietitian
- Western Springs, IL
National Provider Identifier
1902205370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 164001006
- Practice address
- 5332 Woodland Ave
Western Springs, IL 60558-1854 - Phone
- (708) 250-5643
- NPI assigned
- Aug 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 164001006 | IL | Primary |
Addresses
Primary practice location
5332 Woodland Ave
Western Springs, IL 60558-1854
Mailing address
5332 Woodland Ave
Western Springs, IL 60558-1854
Phone (708) 250-5643
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 |
|---|---|---|---|
| 164001006 | IL | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1902205370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5332 WOODLAND AVE",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581854",
"telephone_number": "708-250-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5332 WOODLAND AVE",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581854",
"telephone_number": "708-250-5643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDON",
"first_name": "KATHLEEN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "IL",
"license": "164001006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Western Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.