Individual provider Active NPI

Kathleen Antoinette Zechman, RD

  • Registered Dietitian
  • Lisle, IL
National Provider Identifier
1962223065
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86102985 Issued in NY
Practice address
701 Warrenville Rd Ste 210
Lisle, IL 60532-1376
Phone
(312) 664-3456
NPI assigned
Oct 21, 2024
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 86102985 NY Primary

Addresses

Primary practice location

701 Warrenville Rd Ste 210
Lisle, IL 60532-1376

Mailing address

953 Lake Rd
Wellsboro, PA 16901-7170
Phone (570) 948-1259

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

LicenseStateTypeSpecialty
86102985NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
All Access Dietitians PLLC Dietitian, Registered CurrentSince Oct 27, 2024 Accepting new patients

Locations

701 Warrenville Rd
Ste 210
Lisle, IL 60532
Phone (312) 664-3456

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.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1962223065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 LAKE RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169017170",
            "telephone_number": "570-948-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WARRENVILLE RD STE 210",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321376",
            "telephone_number": "312-664-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZECHMAN",
        "first_name": "KATHLEEN",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86102985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.