Organization Active NPI

Elite Body Data, LLC

  • Registered Dietitian
  • Park Ridge, IL
National Provider Identifier
1972424463
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ELITE BODY DATA, LLC
Practice address
222 S Prospect Ave
Park Ridge, IL 60068-4037
Phone
(872) 203-1871
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Yaa Boakye, MBA, RDN, LDN, CPTNPI 1316755002
Title
Operator
Phone
(872) 203-1871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

222 S Prospect Ave
Park Ridge, IL 60068-4037

Mailing address

165 S Weston Ave
Elgin, IL 60123-6076
Phone (872) 203-1871

Other practice location 1

11740 Katy Fwy Ste 1700
Houston, TX 77079-1273
Phone (872) 203-1871

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1972424463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S WESTON AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236076",
            "telephone_number": "872-203-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S PROSPECT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684037",
            "telephone_number": "872-203-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11740 Katy Fwy Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770791273",
            "country_code": "US",
            "telephone_number": "872-203-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE BODY DATA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "BOAKYE",
        "authorized_official_first_name": "YAA",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "872-203-1871",
        "authorized_official_credential": "MBA, RDN, LDN, CPT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.