CORAL NUTRITION COACH, LLC (NPI# 1649865445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649865445 |
| Entity Type | Organization |
| Organization Name | CORAL NUTRITION COACH, LLC |
| Practice Address | 5415 S Dorchester Ave Apt Bsmt Chicago IL 60615-5328 |
| Practice Telephone | 7737102237 |
| Practice Fax Number | 8722443810 |
| Mailing Address | 5415 S Dorchester Ave Apt Bsmt Chicago IL 60615-5328 |
| Mailing Telephone | 7737102237 |
| Mailing Fax Number | 8722443810 |
| Certification Date | 2021-03-03 |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |
| Authorized Official Telephone | 7737102237 |
| Authorized Official Credential | MS, RD, LDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 133VN1004X | Dietitian, Registered Specialization: Nutrition, Pediatric | 193400000X SINGLE SPECIALTY GROUP | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Jessica Coral Allender dba Coral Nutrition Coach | Other Name |
| Street Address | 5415 S DORCHESTER AVE APT BSMT |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568053635 | Jalen Cobb | Counselor · Professional | 5128 S Michigan, Chicago, IL 60615 | 2021-02-01 |
| 1578170221 | Cook County · Provident Dialysis Center | Technician, Other · Renal Dialysis | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1477176865 | Yakima S Diemer | Counselor · Professional | 5113 S Harper Ave, Suite 2, Chicago, IL 60615 | 2020-05-20 |
| 1356987184 | Aunt Martha's Health and Wellness, Inc. · Aunt Martha's Integrated Care Center | Clinic/Center · Adult Mental Health | 5001 S Michigan Ave Ste B, Chicago, IL 60615 | 2019-11-27 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker · Clinical | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker · Clinical | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1659857696 | Lauren G Osterbrock | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615 | 2018-07-12 |
| 1740776400 | Michael J Jewell | Physical Therapist | 1511 E Hyde Park Blvd, Chicago, IL 60615 | 2018-07-06 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104417294 | Jamie Ray | 840 S Wood St Fl 12, Chicago, IL 60612-4325 | 2021-02-01 | |
| 1154920122 | Saja Froukh | 6501 S Promontory Dr, Chicago, IL 60649-1002 | 2020-10-21 | |
| 1255945838 | Patrice H. Swiontek | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-09-01 | |
| 1770196776 | Katherine Jade Arduini · Katie Jade Arduini | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-28 | |
| 1740893072 | Jennifer Bathgate | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-08-26 | |
| 1487279014 | Evolve Yoga & Fitness LLC | 7252 W Foster Ave, Chicago, IL 60656-3612 | 2020-06-09 | |
| 1346890688 | Alexis Virlee | 1700 W Van Buren St Ste 425, Chicago, IL 60612-5500 | 2019-09-18 | |
| 1548632136 | Stacie Renee Schaller · Stacie Renee Schutz | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2015-10-22 | |
| 1720490709 | Georgia Marinis Diakakis | 849 N Franklin St, Apt 1009, Chicago, IL 60610-8793 | 2014-05-27 | |
| 1710314927 | Pamela Lynn Patt | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2013-10-02 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699917385 | Nutrition Coach, LLC | Dietitian, Registered | 6861 N 500 W, Columbus, IN 47201-4660 | 2009-03-27 |
| 1669843819 | Nutrition Coach- Rd, LLC | Dietitian, Registered | 1807 S Kanner Hwy, Stuart, FL 34994-7204 | 2015-10-14 |
| 1548636350 | Nutrition Coach | Dietitian, Registered | 1915 Huguenot Rd, Ste 103, North Chesterfield, VA 23235-4315 | 2015-08-16 |
| 1992954036 | Nutrition Coach Inc | Clinic/Center | 100 E Linton Blvd, Suite 304b, Delray Beach, FL 33483-3327 | 2008-09-13 |
| 1619188448 | Coach's Rx Inc · Coach's Pharmacy | Durable Medical Equipment & Medical Supplies | 100 N Tx Avenue, Suite A, Mercedes, TX 78570-2747 | 2007-05-24 |
| 1124372495 | Bristol County Coach Inc · Bristol Coach & Limousine | Private Vehicle | 145r W Main St, Norton, MA 02766-1202 | 2012-11-07 |
| 1710468442 | Coach Transportation LLC · Coach Transportation LLC | Non-emergency Medical Transport (VAN) | 1780 Duchess Ct, Muskegon, MI 49445-1716 | 2018-08-21 |
| 1013411677 | Toye White | Behavior Technician | 840 Red Coach Lane, 840 Red Coach Lane, Northbrook, IL 60062-6006 | 2018-03-20 |
| 1285993139 | The Speech and Learning Coach.com · Karyn Lutes Dba The Speech and Learning Coach.com | Speech-Language Pathologist | 1544 W Branch St, Arroyo Grande, CA 93420-1818 | 2012-05-13 |
| 1538501523 | Francis Agbo D/B/A Ampa Coach Ambuette · Ampa Coach Ambuette | Non-emergency Medical Transport (VAN) | 65 Main St, Suite 203, Warwick, NY 10990-1346 | 2013-07-19 |
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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.