Active NPI
Julie Albrecht, L.D.N.
- Registered Dietitian
- Olympia Fields, IL
National Provider Identifier
1922062173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164001207
- Practice address
- 3700 W 203Rd St Ste 310
Olympia Fields, IL 60461-1182 - Phone
- (708) 679-2717
- Fax
- (708) 679-2260
- NPI assigned
- Apr 14, 2006
- Last updated
- Feb 26, 2019
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164001207 | IL | Primary |
Addresses
Primary practice location
3700 W 203Rd St Ste 310
Olympia Fields, IL 60461-1182
Mailing address
1040 Sierra Dr
Suite 400
Greenwood, IN 46143-7240
Phone (317) 528-4253
Other practice location 1
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL5686053 | Other | IL | MEDICARE PTAN |
| 164001207 | Other | IL | LICENSED DIETITIAN NUTRIT |
| 460860 | Other | IL | CDR REGISTRATION ID NUMBE |
| 4673170001 | Other | IL | DMERC |
| DS3884 | Other | IL | MEDICARE RAILROAD PTAN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia Fields Eyecare, LTD. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Flossmoor, IL
- NPI 1598762007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1922062173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SIERRA DR",
"address_2": "SUITE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437240",
"telephone_number": "317-528-4253",
"fax_number": "317-865-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 W 203RD ST STE 310",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611182",
"telephone_number": "708-679-2717",
"fax_number": "708-679-2260"
}
],
"practiceLocations": [
{
"address_1": "20201 Crawford Ave",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611010",
"country_code": "US",
"telephone_number": "708-747-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBRECHT",
"first_name": "JULIE",
"credential": "L.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164001207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IL5686053",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN NUTRIT",
"identifier": "164001207",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR REGISTRATION ID NUMBE",
"identifier": "460860",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4673170001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PTAN",
"identifier": "DS3884",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.