Active NPI
Kirsten L Kessler, ND
- Nutritionist
- Gurnee, IL
National Provider Identifier
1992417950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 164.009644
- Practice address
- 1800 Nations Dr Ste 117-3
Gurnee, IL 60031-9171 - Phone
- (224) 513-0681
- NPI assigned
- Dec 21, 2022
- Last updated
- Aug 13, 2024
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | |||
| Nutritionist | 133N00000X | 164.009644 | IL | Primary |
Addresses
Primary practice location
1800 Nations Dr Ste 117-3
Gurnee, IL 60031-9171
Mailing address
3113 Country LN
Waukegan, IL 60087-5338
Phone (619) 997-0262
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | vitalsignsnaturalhealth.com |
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, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 W 24TH St
FL 4
New York, NY 10010-3239
2435 Polk St
San Francisco, CA 94109-1679
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.009644 | IL | MD | Nutritionist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1992417950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 COUNTRY LN",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600875338",
"telephone_number": "619-997-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NATIONS DR STE 117-3",
"city": "GURNEE",
"state": "IL",
"postal_code": "600319171",
"telephone_number": "224-513-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "KIRSTEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": "164.009644",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "vitalsignsnaturalhealth.com",
"affiliation": "N",
"address_1": "1800 Nations Dr Ste 117-3",
"city": "Gurnee",
"state": "IL",
"country_code": "US",
"postal_code": "600319171",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.