MRS. COLLEEN MARIE DEBOER (NPI# 1275904112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275904112 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN MARIE DEBOER |
| Credential | RD, LDN, CDE |
| Practice Address |
660 N Westmoreland Rd Lake Forest IL 60045-1659 |
| Practice Telephone | 8475356807 |
| Mailing Telephone | 8475356807 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164.005209 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902953904 | Colleen Ann Deboer | Nurse Practitioner | 1 Gustave L Levy Pl, Mount Sinai Medical Center, Box 1128, New York, NY 10029-6500 | 2007-01-04 |
| Street Address |
660 N WESTMORELAND RD |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661318 | Regis J Weiss | Obstetrics & Gynecology | 660 N Westmoreland Rd, Suite 306, Lake Forest, IL 60045-1659 | 2005-07-07 |
| 1508377532 | Meghan Strand | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-10-17 |
| 1538689864 | Amanda D Froeming | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-27 |
| 1639608409 | Kristin Rae Elinski | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-06 |
| 1386173235 | Erika L Tait | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-05 |
| 1437685252 | Melissa Kathryn Demiglio | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-05-11 |
| 1891231312 | Jill Alden | Clinical Nurse Specialist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-01-07 |
| 1588108203 | Sarah Latoria | Nurse Practitioner | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-12-14 |
| 1184172488 | Ken Dizon | Registered Nurse | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-09-14 |
| 1194182949 | Meagan Reitz | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| 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 |
|---|---|---|---|---|
| 1225653348 | Charlotte Ann Griffith | Dietitian, Registered | 690 Rockefeller Rd, Lake Forest, IL 60045-3147 | 2020-06-15 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1992298426 | Tiffany Gunnemann | Dietitian, Registered | 21342 Hillside Ct, Lake Forest, CA 92630-6598 | 2018-06-09 |
| 1598141368 | Lisa Underwood | Dietitian, Registered | 21311 Balsam Ln, Lake Forest, CA 92630-6418 | 2015-08-04 |
| 1811390529 | Brenda Murray | Dietitian, Registered | 356 Scott St, Lake Forest, IL 60045-1462 | 2014-10-08 |
| 1780087833 | Jin Kuo | Dietitian, Registered | 25885 Trabuco Rd. Apt #120, Lake Forest, CA 92630 | 2014-10-03 |
| 1467866541 | Deborah Ann Belcore | Dietitian, Registered | 147 N. Green Bay Rd, Lake Forest, IL 60045 | 2014-06-17 |
| 1174759104 | Maryanna Schade Mcgervey | Dietitian, Registered | 24531 Via Tonada, Lake Forest, CA 92630-2027 | 2009-06-04 |
| 1043469794 | Kristine M Schwartz | Dietitian, Registered | 21512 Via Sombreada, Lake Forest, CA 92630-2024 | 2008-09-17 |
| 1285090670 | Michelle Young | Dietitian, Registered | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-01-14 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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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.