DIANE MARTINEZ DADIVAS (NPI# 1790090033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790090033 |
| Entity Type | Individual |
| Full Name | DIANE MARTINEZ DADIVAS |
| Credential | RD |
| Practice Address |
8439 N Clifton Ave Niles IL 60714-1803 |
| Practice Telephone | 2819018481 |
| Practice Fax Number | 8332714447 |
| Mailing Telephone | 2819018481 |
| Mailing Fax Number | 8332714447 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
164.005298 | IL | Dietary & Nutritional Service Providers |
| Street Address |
8439 N CLIFTON AVE |
| City | NILES |
| State | IL |
| Zip Code | 60714-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238941 | Beth Helmold | Dietitian, Registered | 111 N 5th Ave, Morton, IL 61550-2103 | 2019-01-08 |
| 1831665405 | Grazyna Gawedzki | Dietitian, Registered | 829 Austin Ave, Park Ridge, IL 60068-2682 | 2018-10-22 |
| 1215446463 | Sarah Berglind | Dietitian, Registered | 7640 W Coach Rd, Palos Heights, IL 60463-1244 | 2017-09-20 |
| 1043757149 | Amanda Salley | Dietitian, Registered | 1900 Sycamore Rd, Homewood, IL 60430-2323 | 2017-01-26 |
| 1932641750 | Tara Todd | Dietitian, Registered | 3312 Forest Hill School Rd, Millstadt, IL 62260-3116 | 2016-11-10 |
| 1639553142 | Bianca Roe | Dietitian, Registered | 2630 W Bradley Pl Ste A, Chicago, IL 60618-4704 | 2015-07-14 |
| 1144620261 | Julie Ann Mota | Dietitian, Registered | 728 S Madison Ave, La Grange, IL 60525-2805 | 2014-08-26 |
| 1902205370 | Kathleen Sheldon | Dietitian, Registered | 5332 Woodland Ave, Western Springs, IL 60558-1854 | 2014-08-21 |
| 1487925996 | Amanda Nelson | Dietitian, Registered | 2814 Miller Rd, Geneva, IL 60134-3996 | 2012-01-16 |
| 1801022645 | Lauren Kime | Dietitian, Registered | 1747 N Cleveland Ave Apt 1f, Chicago, IL 60614-9250 | 2009-06-08 |
| Find all providers with the same taxonomy | ||||
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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.