NPI Code Detail JSON Logo

1528650736 NPI number — STEPHANIE NICHOLE QUINT MS, RD, LDN, CHES

NPI Number: 1528650736
Health Care Provider/Practitioner: STEPHANIE NICHOLE QUINT MS, RD, LDN, CHES

Information about “1528650736” NPI (STEPHANIE NICHOLE QUINT MS, RD, LDN, CHES) exists in 1528650736 in HTML format HTML  |  1528650736 in plain Text format TXT  |  1528650736 in PDF (Portable Document Format) PDF  |  1528650736 in an XML format XML  formats.

NPI Number : 1528650736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528650736",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "QUINT",
    "FirstName": "STEPHANIE",
    "MiddleName": "NICHOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, RD, LDN, CHES",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALLISON",
    "OtherFirstName": "STEPHANIE",
    "OtherMiddleName": "NICHOLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS, RD, LDN, CHES",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "202 W FOX HILL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BUFFALO GROVE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60089-7706",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-668-1639",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1640 W DIVISION ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60622-3939",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "855-552-5557",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/09/2021",
    "LastUpdateDate": "05/04/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "10239769",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "ND13102",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "164.007172",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "108680",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "3240",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "2014",
          "LicenseNumberStateCode": "WV",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "DX8525",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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