MRS. CAITLIN M KOWNACKI


Address: 1400 W Park St, Urbana, IL 61801-2334
Phone: 2173374520

MRS. CAITLIN M KOWNACKI (NPI# 1609128438) 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) 1609128438
Entity Type Individual
Full Name MRS. CAITLIN M KOWNACKI
Credential R.D.
Practice Address 1400 W Park St
Urbana
IL 61801-2334
Mailing Address 2319 Osage Dr
Champaign
IL 61821-6346
Practice Telephone 2173374520
Enumeration Date 2012-10-03
Last Update Date 2012-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 164005506 IL Dietary & Nutritional Service Providers

Office Location

Street Address 1400 W PARK ST
City URBANA
State IL
Zip Code 61801-2334

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801862461 Shamim Sadiq Internal Medicine 1400 W Park St, Urbana, IL 61801-2334 2006-02-24
1548873938 Audra Leigh Cisna Dietitian, Registered 1400 W Park St, Urbana, IL 61801-2334 2020-08-26
1689200750 Holly Tompkins Dietitian, Registered 1400 W Park St, Urbana, IL 61801-2334 2020-03-20
1417419045 Latifa Omran Technician/Technologist 1400 W Park St, Urbana, IL 61801-2334 2019-04-02
1588134084 Lauren Dowd Dietitian, Registered 1400 W Park St, Urbana, IL 61801 2018-11-28
1053801514 Sarah Kristine Farison Speech-Language Pathologist 1400 W Park St, Urbana, IL 61801-2334 2018-05-10
1316437882 Tian Lan Physical Therapist 1400 W Park St, Urbana, IL 61801-2334 2018-05-10
1659884476 Osf Healthcare System General Acute Care Hospital 1400 W Park St, Urbana, IL 61801 2017-11-15
1093228835 Osf Healthcare System Ambulance 1400 W Park St, Urbana, IL 61801 2017-11-15
1649783473 Osf Healthcare System General Acute Care Hospital 1400 W Park St, Urbana, IL 61801 2017-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417566084 Avani Sushilkumar Mohta Internal Medicine Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2020-07-29
1922617133 Recovery Concepts Urbana, LLC Clinic/Center 710 W. Killarney St., Urbana, IL 61801 2020-07-24
1447877089 Muhammad Khalid Abbas Internal Medicine 611 W Park St Urbana, Urbana, IL 61801 2020-06-30
1003430166 Conlan Joseph Pierce Surgery 601 W Park St, Urbana, IL 61801 2020-06-04
1568090900 Luke Andrew Fenlon Student in an Organized Health Care Education/Training Program Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 2020-03-31
1912559691 Ali Baltaji Internal Medicine 101 N Busey Apt 7, Urbana, IL 61801 2019-07-12
1821510918 Pallavi Pradeep Internal Medicine Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 2017-07-11
1093236002 Angela Lynn Devaney Speech-Language Pathologist 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 2017-06-29
1346775236 Jennifer Garcia Student in an Organized Health Care Education/Training Program Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2017-04-27
1467992537 Amber Kristine Davis Speech-Language Pathologist 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 2017-03-08
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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
1538798707 Madeline Runyan Dietitian, Registered 3095 Sloan Rd, Urbana, OH 43078-9743 2020-04-08
1235787698 Shelly Palmer Dietitian, Registered 905 S Goodwin Ave Ofc 567, Urbana, IL 61801-3816 2019-08-29
1619302494 Ascend Chc, Lcc Dietitian, Registered 700 S Gregory St, Suite A, Urbana, IL 61801-3745 2013-09-11
1043236219 Jennifer Caulfield Dietitian, Registered Carle Clinic, 602 West University Avenue, Endocrinology, Urbana, IL 61801 2006-07-14
1063455046 Angela Todd Dietitian, Registered Provena Covenant Medical Center, 1400 West Park Street, Urbana, IL 61801 2006-06-14
1548873938 Audra Leigh Cisna Dietitian, Registered 1400 W Park St, Urbana, IL 61801-2334 2020-08-26
1407472210 Hunter Farthing Dietitian, Registered 700 S Gregory St Ste A, Urbana, IL 61801-3622 2020-06-18
1689200750 Holly Tompkins Dietitian, Registered 1400 W Park St, Urbana, IL 61801-2334 2020-03-20
1568006542 Whitney R Streitmatter Dietitian, Registered 611 W. Park St., Fapc, Urbana, IL 61801 2019-11-01
1700430022 Chelsea M Guder Dietitian, Registered 611 W Park St, Urbana, IL 61801-2529 2019-07-25
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City URBANA
Zip Code 61801

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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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