Individual provider Active NPI

Janine Ricketts-Byrne, MA, RDN, LDN

  • Registered Dietitian
  • Barrington, IL
National Provider Identifier
1922500719
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164001459 Issued in IL
Practice address
1529 S Grove Ave
Barrington, IL 60010-5211
Phone
(847) 302-2532
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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 164001459 IL Primary

Addresses

Primary practice location

1529 S Grove Ave
Barrington, IL 60010-5211

Mailing address

662 W Kimball Ave
Palatine, IL 60067-6753
Phone (847) 302-2532

Other names 1

  • Mrs. Janine L. Ricketts Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
164001459ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1922500719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 W KIMBALL AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676753",
            "telephone_number": "847-302-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 S GROVE AVE",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105211",
            "telephone_number": "847-302-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS-BYRNE",
        "first_name": "JANINE",
        "credential": "MA, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164001459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANINE",
            "last_name": "RICKETTS",
            "middle_name": "L.",
            "prefix": "MRS.",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.