KATRINA LOUISE HERREJON MS RD LDN NPI 1316128192

NPI Information

NPI: 1316128192
Provider Name: KATRINA LOUISE HERREJON, MS, RD, LDN
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
9977 WOODS DR
1ST FLOOR
SKOKIE, IL
ZIP 60077
Phone: (847) 663-8540
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Katrina Louise Herrejon, MS, RD, LDN is a nutrition and education nutritionist in Skokie, IL. Katrina Louise Herrejon, MS, RD, LDN NPI is 1316128192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9977 WOODS DR
1ST FLOOR
SKOKIE, IL
ZIP 60077-057
Phone: (847) 663-8540
Fax: (847) 663-1015

The enumeration date for this NPI number is 11/20/2007 and was last updated on 5/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education	164-004790	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	164-004790	OTHER	ILLINOIS	IL STATE LIC
2	K49524	MEDICARE PIN	ILLINOIS
3	K49523	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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