Active NPI
Shilpa K Patel, MS, CNS
- Nutrition Education Nutritionist
- Round Lake, IL
National Provider Identifier
1972262079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- CNS18322
- Practice address
- 1896 W Greenleaf Dr
Round Lake, IL 60073-9772 - Phone
- (847) 863-4570
- NPI assigned
- Dec 16, 2021
- Last updated
- Dec 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | CNS18322 | IL | Primary |
Addresses
Primary practice location
1896 W Greenleaf Dr
Round Lake, IL 60073-9772
Mailing address
1896 W Greenleaf Dr
Round Lake, IL 60073-9772
Phone (847) 863-4570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 3, 2025 through Oct 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNS18322 | IL | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Gastrointestinal Health, LLC | Past | Accepting new patients | |
| BSH Health PA | Past | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Past | Accepting new patients | |
| Active Wellness, LLC | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1972262079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1896 W GREENLEAF DR",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "600739772",
"telephone_number": "847-863-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1896 W GREENLEAF DR",
"city": "ROUND LAKE",
"state": "IL",
"postal_code": "600739772",
"telephone_number": "847-863-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHILPA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "MS, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-16",
"last_updated": "2021-12-16",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "IL",
"license": "CNS18322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.