NPI 1912854555 · live from the CMS NPI Registry
At Home With The Dietitian
Dietitian, Registered in Downers Grove, IL. National Provider Identifier 1912854555, active.
NPI record
| NPI | 1912854555 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6211 Park Ave, Downers Grove, IL 60516 |
| Practice phone | 630-886-6095 |
| Enumerated | March 12, 2026 |
| Last updated | March 12, 2026 |
| Authorized official | Jamie Shifley, Registered Dietitian |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.