NPI 1700820495 · live from the CMS NPI Registry
Jeanette Andrade
Dietitian, Registered in Danville, IL. National Provider Identifier 1700820495, active.
NPI record
| NPI | 1700820495 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | Provena United Samaritans Medical Center, 812 N Logan Ave, Danville, IL 61832 |
| Practice phone | 217-443-5000 |
| Mailing address | 822 E Kerr Ave, Apt 101, Urbana, IL 61802 |
| Enumerated | June 15, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164004276 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.