MRS. CONNIE LYNN MACHETTA (NPI# 1003459199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003459199 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE LYNN MACHETTA |
| Credential | RDN, LDN |
| Practice Address |
1900 Silver Cross Blvd New Lenox IL 60451-9509 |
| Practice Telephone | 8154740458 |
| Practice Fax Number | 8153002706 |
| Mailing Telephone | 8153001078 |
| Mailing Fax Number | 8153002076 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164000596 | IL | Dietary & Nutritional Service Providers |
| Street Address |
1900 SILVER CROSS BLVD |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-9509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407828882 | Nisha Patel | Radiology | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2006-02-01 |
| 1902412950 | Premier Suburban Medical Group, Pllc | Clinic/Center | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2020-09-16 |
| 1902425937 | Sara Doornbosch | Nurse Practitioner | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2020-04-09 |
| 1962038968 | Hollie Ann Nieland | Nurse Practitioner | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2020-03-21 |
| 1851926869 | Health Services Systems, Inc | Internal Medicine | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2020-03-10 |
| 1376177220 | Taylor Baldermann | Nurse Practitioner | 1900 Silver Cross Blvd, New Lenox, IL 60451 | 2020-03-01 |
| 1114559044 | Sara Milano | Nurse Practitioner | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2020-02-08 |
| 1972144715 | Rebecca Mireles | Nurse Practitioner | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2019-10-02 |
| 1124596408 | Cammie C Liu | Physician Assistant | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2018-11-05 |
| 1861991069 | Kristina Lendabarker | Nurse Anesthetist, Certified Registered | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2018-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.