Active NPI
Ann Swank, RD, LDN
- Registered Dietitian
- Clarendon Hills, IL
National Provider Identifier
1902286446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.005738
- Practice address
- 262 Holmes Ave
Clarendon Hills, IL 60514-1444 - Phone
- (630) 379-1158
- NPI assigned
- May 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.005738 | IL | Primary |
Addresses
Primary practice location
262 Holmes Ave
Clarendon Hills, IL 60514-1444
Mailing address
262 Holmes Ave
Clarendon Hills, IL 60514-1444
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.005738 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Consultants, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Itinerant Primary Care
- General Practice Physician
- Dallas, TX
- NPI 1346839859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432944000000",
"number": "1902286446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 HOLMES AVE",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605141444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 HOLMES AVE",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605141444",
"telephone_number": "630-379-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANK",
"first_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-30",
"last_updated": "2015-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.005738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarendon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.