YOUR KIDNEY DIETITIAN PLLC
NPI 1336894856
Dietitian, Registered in Chicago, IL

Q: What is Your Kidney Dietitian PLLC's NPI number?

The NPI number for Your Kidney Dietitian PLLC is 1336894856. It was assigned to this organization in the NPPES registry on February 14, 2022. The provider was formerly known as Your Kidney Dietitian LLC.

Q: What is Your Kidney Dietitian PLLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since February 14, 2022

4631 N LINCOLN AVE, CHICAGO, IL 60625(224) 725-3530(312) 646-4120 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2024, Feb 14, 2022 (2 updates tracked since 2022).

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About Your Kidney Dietitian Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUR KIDNEY DIETITIAN PLLC (NPI 1336894856), doing business as Your Kidney Dietitian Llc, is a healthcare organization registered as a dietitian, registered in Chicago, Illinois and active in the NPI registry since February 2022. The organization lists Caitlin Zalewski, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1336894856

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameYOUR KIDNEY DIETITIAN PLLC

Location Address4631 N LINCOLN AVEChicago, IL 60625-2007

Mailing Address4631 N Lincoln AveChicago, IL 60625-2007 · (224) 725-3530 · Fax (312) 646-4120

Phone(224) 725-3530

Fax(312) 646-4120

Organization SubpartNo

Authorized OfficialCaitlin ZalewskiRegistered Dietitian · (224) 725-3530

Enumeration DateFebruary 14, 2022

Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1336894856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4631 N LINCOLN AVE, Chicago, IL 60625

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Other Names 1

Former Legal Business NameYour Kidney Dietitian Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Your Kidney Dietitian Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIllinoisEnrollment IDO20220307002473Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Your Kidney Dietitian PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Caitlin Kanner, RDN, CSR, LDN

Registered Dietitian or Nutrition Professional

NPI 1962838680

2215 W MONTROSE AVE APT 2
Chicago, IL 60618

(224) 725-3530

0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Your Kidney Dietitian PLLC's NPI number?

The NPI number for Your Kidney Dietitian PLLC is 1336894856. It was assigned to this organization in the NPPES registry on February 14, 2022. The provider was formerly known as Your Kidney Dietitian LLC.

Where is Your Kidney Dietitian PLLC located?

Your Kidney Dietitian PLLC is located at 4631 N Lincoln Ave, Chicago, IL 60625. The listed phone number is (224) 725-3530.

What is Your Kidney Dietitian PLLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Your Kidney Dietitian PLLC enrolled in Medicare?

Yes. Your Kidney Dietitian PLLC is registered in the Medicare PECOS enrollment system.

When is Your Kidney Dietitian PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Your Kidney Dietitian PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Your Kidney Dietitian PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Your Kidney Dietitian PLLC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.