Active NPI
Caitlin Marie Zalewski, RDN, CSR, LDN
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1962838680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164007167
- Practice address
- 2215 W Montrose Ave Apt 2
Chicago, IL 60618-1790 - Phone
- (224) 725-3530
- Fax
- (312) 646-4120
- NPI assigned
- Sep 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 7263 | OH | |
| Registered Dietitian | 133V00000X | 164007167 | IL | Primary |
Addresses
Primary practice location
2215 W Montrose Ave Apt 2
Chicago, IL 60618-1790
Mailing address
2215 W Montrose Ave Apt 2
Chicago, IL 60618-1790
Phone (224) 725-3530
Other names 1
- Caitlin Marie Kanner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2215 W Montrose Ave
Apt 2
Chicago, IL 60618-1790
Phone (224) 725-3530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7263 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Kidney Dietitian PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
4631 N Lincoln Ave
Chicago, IL 60625
Phone (312) 884-9706
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": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1962838680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 W MONTROSE AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181790",
"telephone_number": "224-725-3530",
"fax_number": "312-646-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 W MONTROSE AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181790",
"telephone_number": "224-725-3530",
"fax_number": "312-646-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALEWSKI",
"first_name": "CAITLIN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RDN, CSR, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-26",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "7263",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164007167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "KANNER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.