KIMBERLY A MACK


Address: 315 Skyvue Ln, Schaumburg, IL 60194-3821
Phone: 8478850994

KIMBERLY A MACK (NPI# 1558627042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558627042
Entity Type Individual
Full Name KIMBERLY A MACK
Credential RD
Practice Address 315 Skyvue Ln
Schaumburg
IL 60194-3821
Practice Telephone 8478850994
Mailing Telephone 8478850994
Enumeration Date 2012-04-09
Last Update Date 2012-04-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 164.004050 IL Dietary & Nutritional Service Providers

Other Providers KIMBERLY MACK

NPI Name Taxonomy Address Enumeration
1154956001 Kimberly Renee Mack Nurse Practitioner 321 E Broad St, Gibbstown, NJ 08027-2007 2020-03-10
1598208928 Kimberly Mack Social Worker 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2016-12-03
1326336884 Kimberly M Mack Counselor 300 13th Ave W Ste 1, Dickinson, ND 58601-4875 2011-07-19

Office Location

Street Address 315 SKYVUE LN
City SCHAUMBURG
State IL
Zip Code 60194-3821

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1356866958 Integral Medical & Rehabilitation, S.c Chiropractor 399 Glen Byrn Ct, Schaumburg, IL 60194 2017-08-04
1508389883 Andria Burris Speech-Language Pathologist 55 E Schaumburg Rd, Schaumburg, IL 60194 2017-07-19
1598286510 S&t Medical Group Ltd Clinic/Center 1375 E Schaumburg Rd #120, Schaumburd, IL 60194 2017-06-29
1629525126 Tracy Haut Dental Hygienist 131 Bright Ridge Dr, Schaumburg, IL 60194 2016-09-01
1447655733 Isabell Ciszewski Counselor 118 Cumberland Dr, Schaumburg, IL 60194 2014-10-29
1902246317 Ketty Esther Cruz Behavioral Analyst 1901 Finchley Ct, Schaumburg, IL 60194 2013-06-29
1184978983 For Eyes Optical Eyewear Supplier (Equipment, not the service) 2606 W Schaumburg Road, Schaumburg, IL 60194 2012-10-31
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558972505 Cassandra Lindsay Barnes Dietitian, Registered 1316 Cabot Ln, Schaumburg, IL 60193-2517 2020-08-13
1043871569 Bls Nutrition Consulting LLC Dietitian, Registered 1900 E Golf Rd Ste 950-h, Schaumburg, IL 60173-5834 2019-06-25
1851853204 Emily Marie Meier Dietitian, Registered 25 E Schaumburg Rd Ste 101, Schaumburg, IL 60194-3548 2019-04-04
1043774631 Boguslawa L Susol Dietitian, Registered 1900 E Golf Rd Ste 950h, Schaumburg, IL 60173-5834 2019-01-28
1104334465 Fay Nutrition, LLC Dietitian, Registered 1900 E Golf Rd Ste 905, Schaumburg, IL 60173-5834 2018-01-19
1790229425 Roxana Marincas Dietitian, Registered 1699 E Woodfield Rd, Suite 402, Schaumburg, IL 60173-4947 2016-12-14
1033568050 Pik Shan Fung Dietitian, Registered 2609 College Hill Cir, Schaumburg, IL 60173-5206 2016-06-09
1740639830 Rita Faycurry Dietitian, Registered 1900 E Golf Rd # 905, Schaumburg, IL 60173-5834 2016-06-08
1073640132 Karen Louise Hemzacek Dietitian, Registered 1261 Wiley Rd, Suite L, Schaumburg, IL 60173-4380 2007-02-27
1710531041 Ryan Branson Dietitian, Registered 1699 E Woodfield Rd Ste 402, Schaumburg, IL 60173-4958 2019-07-25
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Competitor

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City SCHAUMBURG
Zip Code 60194

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Dataset Information

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.

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