KIMBERLY MARIA O'SHAUGHNESSY (NPI# 1023630282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023630282 |
| Entity Type | Individual |
| Full Name | KIMBERLY MARIA O'SHAUGHNESSY |
| Credential | MS, RD, LDN |
| Practice Address |
9816 Mayfield Ave Oak Lawn IL 60453-3670 |
| Practice Telephone | 7734016605 |
| Mailing Telephone | 7734016605 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164.004979 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053177 | Kimberly O'shaughnessy | Registered Nurse | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-05-01 |
| Street Address |
9816 MAYFIELD AVE |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-3670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| 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 |
|---|---|---|---|---|
| 1851921100 | Susan Boettcher | Dietitian, Registered | 9409 Menard Ave, Oak Lawn, IL 60453-2337 | 2020-01-24 |
| 1386295343 | Kristin Renken | Dietitian, Registered | 10231 S Kolin Ave, Oak Lawn, IL 60453-4279 | 2019-09-21 |
| 1225594849 | Sandra L Glab | Dietitian, Registered | 4817 W 95th St, Oak Lawn, IL 60453-2501 | 2019-02-19 |
| 1124672654 | Samuel George Tambeaux | Dietitian, Registered | 4932 W 95th St, Oak Lawn, IL 60453 | 2019-08-01 |
| 1578040069 | Joci Ruth Schumann | Dietitian, Registered | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-07-26 |
| 1295285302 | Kelly Whirity | Dietitian, Registered | 4220 W 95th St, Suite 200, Oak Lawn, IL 60453-2793 | 2016-10-12 |
| 1104276476 | Natalie Caitlyn Eubank | Dietitian, Registered | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2016-06-17 |
| 1215115654 | David John Kats | Dietitian, Registered | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2008-02-07 |
| 1053345603 | Janel C. Hayden | Dietitian, Registered | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2006-07-10 |
| 1609808229 | Anne M. O'malley | Dietitian, Registered | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2006-07-06 |
| Find all providers in OAK LAWN | ||||
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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.