Individual provider Active NPI

Caitlin Marie Zalewski, RDN, CSR, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1962838680
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164007167 Issued in IL
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

Updated by the provider on Feb 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220307002498 IL Practitioner - Registered Dietitian Or Nutrition Professional 4587899612 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
7263OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Your Kidney Dietitian PLLC Dietitian, Registered CurrentSince Feb 15, 2022 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.

Verify at the official NPI Registry.