NPI 1376358879 · live from the CMS NPI Registry
Shelby Anderson, MS, RDN, LDN
Dietitian, Registered in Chicago, IL. National Provider Identifier 1376358879, active.
NPI record
| NPI | 1376358879 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2551 N Clark St Ste 400, Chicago, IL 60614 |
| Practice phone | 312-533-1754 |
| Mailing address | 3407 W Parker Ave Apt 3, Chicago, IL 60647 |
| Enumerated | February 11, 2025 |
| Last updated | February 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164.008631 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.