HEATHER MASTERS (NPI# 1922480342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922480342 |
| Entity Type | Individual |
| Full Name | HEATHER MASTERS |
| Credential | RD |
| Practice Address |
650 Dakota St Ste A Crystal Lake IL 60012 |
| Mailing Address |
650 Dakota St Ste A Crystal Lake IL 60012-3744 |
| Practice Telephone | 8153386600 |
| Practice Fax Number | 8153561104 |
| Mailing Telephone | 8153386600 |
| Mailing Fax Number | 8153561104 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164006477 | IL | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10350 Haligus Rd Ste 200, Huntley, IL 601429545 | 8153386600 | 8478027259 |
| 10350 Haligus Rd Ste 220, Huntley, IL 601429585 | 8153386600 | 8478027231 |
| 200 E Congress Pkwy, Crystal Lake, IL 600146268 | 8153386600 | 8153566577 |
| 360 Station Dr Fl 3, Crystal Lake, IL 600147978 | 8153386600 | 8153566577 |
| 3707 Doty Rd Ste A, Woodstock, IL 600987530 | 8153386600 | 8152061089 |
| 4309 W Medical Center Dr Ste B202, Mchenry, IL 600508417 | 8153386600 | 8153448957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043672660 | Heather Ann Masters | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371-1322 | 2016-03-23 |
| 1932592722 | Heather Masters | Social Worker | 318 Montjoy St, Falmouth, KY 41040 | 2015-03-18 |
| 1699192039 | Heather Masters | Dentist | 1 Va Ctr, Dental Clinic, Augusta, ME 04330-6719 | 2014-03-24 |
| 1437384716 | Heather Renee Masters | Obstetrics & Gynecology | 234 Goodman St, Ob/gyn, Cincinnati, OH 45219-2364 | 2009-05-15 |
| 1215967286 | Heather S Masters | Internal Medicine | 1250 E Marshall Street, Internal Medicine, Richmond, VA 23298-0102 | 2006-07-04 |
| Street Address |
650 DAKOTA ST STE A |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336112911 | William Arthur Stinson | Internal Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2006-02-13 |
| 1255689543 | Laura L Dagdick | Nurse Practitioner | 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 | 2012-08-17 |
| 1407110034 | Lindsay Morgan Esch | Internal Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2012-06-28 |
| 1811218654 | Gary Lee Reschak | Pediatrics | 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 | 2010-06-16 |
| 1174846141 | Joy A Valko | Psychologist | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2010-03-05 |
| 1265677199 | Robert Brizzolara | Internal Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 | 2008-12-05 |
| 1235390154 | Daniela Huerta De Hathaway | Internal Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2008-06-23 |
| 1508035304 | Shruti Bahadur | Family Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2008-02-26 |
| 1881893303 | Boguslaw S Bonczak | Family Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2007-07-13 |
| 1134201908 | Lisa B Messinger | Pediatrics | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574629 | Joan M Ryan | Counselor | 610 N Route 31, Suite E, Crystal Lake, IL 60012 | 2015-12-23 |
| 1285972331 | Lauren Elyse Westerman | Physical Therapist | 1000 Brighton Ln, Crystal Lake, IL 60012 | 2013-01-24 |
| 1447537469 | Sean Gale | Pharmacist | 135 Carmella Dr, Crystal Lake, IL 60012 | 2011-11-04 |
| 1477836625 | Judy Meekyung Fakhouri | Pharmacist | 315 N. Route 31, Crystal Lake, IL 60012 | 2011-09-23 |
| 1730462136 | Leslie Dawn Weckerlin | Pharmacist | 315 N Route 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1639452188 | Laura Jean Galles | Pharmacist | 315 N. Routet 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1326320516 | Stacey Jean Knuth | Pharmacist | 315 North Route 31, Crystal Lake, IL 60012 | 2011-09-13 |
| 1356469803 | Donn Orien Humphries | Chiropractor | 690 N Route 31, Suite F, Crystal Lake, IL 60012 | 2007-03-26 |
| 1538204508 | Midwest Physical Therapy Ctr | Clinic/Center | 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 | 2007-02-20 |
| 1356488415 | Charlotte Joy Parcels | Social Worker | 8600 Route 14, Suite 110, Crystal Lake, IL 60012 | 2007-01-30 |
| Find all providers in zip 60012 | ||||
| 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 |
|---|---|---|---|---|
| 1003988130 | Lillie Larsen | Dietitian, Registered | 285 Memorial Dr, Crystal Lake, IL 60014-6260 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
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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.