NPI 1154970556 · live from the CMS NPI Registry
Ashley M Anderson, MS, RDN, LDN, CPT
Dietitian, Registered in St Charles, IL. National Provider Identifier 1154970556, active.
NPI record
| NPI | 1154970556 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 240 W River Dr, St Charles, IL 60174 |
| Practice phone | 630-938-9552 |
| Mailing address | 227 E Pierce St, Elburn, IL 60119 |
| Enumerated | September 9, 2019 |
| Last updated | February 3, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164007132 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.