DR. BLAINE HARBOURNE (NPI# 1306326715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306326715 |
| Entity Type | Individual |
| Full Name | DR. BLAINE HARBOURNE |
| Credential | ND |
| Practice Address |
486 S Spring Rd Elmhurst IL 60126-3858 |
| Mailing Address |
1230 Saint James Pl Apt 1a Glen Ellyn IL 60137-7804 |
| Practice Telephone | 5862461480 |
| Mailing Telephone | 5862461480 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164007341 | IL | Dietary & Nutritional Service Providers |
| Street Address |
486 S SPRING RD |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437573839 | York Chiropractic Clinic PC | Chiropractor | 486 S Spring Rd, Elmhurst, IL 60126-3858 | 2014-02-06 |
| 1053712521 | Estella Spain | Specialist | 486 S Spring Rd, Elmhurst, IL 60126-3858 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| 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 |
|---|---|---|---|---|
| 1922614569 | Tahera Begum | Dietitian, Registered | 4215 81st St Apt 5e, Elmhurst, NY 11373-3119 | 2020-09-18 |
| 1841805884 | Raymond Lam | Dietitian, Registered | 5112 Hillyer St Apt 2f, Elmhurst, NY 11373-4971 | 2020-09-15 |
| 1104462621 | Nicole Castro | Dietitian, Registered | 4225 Layton St Apt 4g, Elmhurst, NY 11373-2335 | 2019-11-19 |
| 1902384332 | Alicia Kalinich | Dietitian, Registered | 257 W Winthrop Ave, Elmhurst, IL 60126-3316 | 2018-07-28 |
| 1548778806 | Nyc Hhc Elmhurst Hospital Center | Dietitian, Registered | 7901 Broadway Rm Ba-1a, Elmhurst, NY 11373-1329 | 2018-01-19 |
| 1316378193 | Aimee Jeanne Zajc | Dietitian, Registered | 944 S York St, Elmhurst, IL 60126-5115 | 2013-12-04 |
| 1821243510 | Maureen B. Newsham | Dietitian, Registered | 629 S Hillcrest Ave, Elmhurst, IL 60126-4617 | 2008-11-21 |
| 1376161067 | Michaela Duncan | Dietitian, Registered | 103 N Haven Rd Fl 2, Elmhurst, IL 60126-2973 | 2020-07-08 |
| 1821553538 | Morgan Lindsay | Dietitian, Registered | 7901 Broadway, Elmhurst, NY 11373-1329 | 2019-02-06 |
| 1346758547 | Anna Lin | Dietitian, Registered | 7901 Broadway Rm Ba-1a, Elmhurst, NY 11373-1329 | 2018-01-22 |
| Find all providers in ELMHURST | ||||
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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.