Dietitian Practice Pllc
Dietitian Practice Pllc is a healthcare organization registered as Registered Dietitian in Joliet, IL, holding Type 2 (organization) NPI 1740142256 since 2025. The authorized official on file is Kyle Russ, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1740142256 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dietitian Practice Pllc |
| Practice address | 1000 ESSINGTON RD FL 1, Joliet, IL, 60435 |
| Phone | 8477693393 |
| Enumeration date | 2025-12-02 |
| Last updated in NPPES | 2025-12-02 |
Authorized official
| Name | Kyle Russ |
|---|---|
| Title | Owner |
| Phone | 8477693393 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174H00000X | Health Educator | Secondary | — | — |
| 133V00000X | Registered Dietitian | Primary | — | — |
Copy-ready billing details
Provider: Dietitian Practice Pllc NPI: 1740142256 Taxonomy: 133V00000X (Registered Dietitian) Address: 1000 ESSINGTON RD FL 1, Joliet, IL, 60435
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326842899 | Anais Rosin | Individual | Behavior Analyst | Joliet, IL |
| 1942191127 | Lcr Group LLC | Organization | Clinical Medical Laboratory | Joliet, IL |
| 1942164025 | Raven Behavior Analysis, LLC | Organization | Behavior Analyst | Joliet, IL |
Verify this record
Cross-check NPI 1740142256 against the authoritative CMS record: view Dietitian Practice Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Dietitian Practice Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-02.