Active NPI
Kathleen Antoinette Zechman, RD
- Registered Dietitian
- Lisle, IL
National Provider Identifier
1962223065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86102985
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86102985 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Access Dietitians PLLC | Dietitian, Registered | Current | 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.