ANDREA WILLIAMS (NPI# 1477045763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477045763 |
| Entity Type | Individual |
| Full Name | ANDREA WILLIAMS |
| Credential | RD LDN CDE |
| Practice Address |
800 E 55th St Chicago IL 60615-4906 |
| Mailing Address |
708 Cornfield Rd Matteson IL 60443-1404 |
| Practice Telephone | 7738342580 |
| Mailing Telephone | 7087205933 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
164.002406 | IL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CERTIFIED DIABETES EDUCATOR | 20020629 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959736 | Andrea Williams | Pharmacist | 13231 Windbrooke Ln, Saint Louis, MO 63146-2221 | 2020-10-09 |
| 1073142790 | Andrea Williams | Developmental Therapist | 50 Faith Ct Apt 12, Somerset, KY 42503-5887 | 2020-04-04 |
| 1992331714 | Andrea Williams | Nurse Practitioner | 55 Mckenzie Cv, Marion, AR 72364-2661 | 2020-03-13 |
| 1669002861 | Andrea Williams | Case Manager/Care Coordinator | 3200 Taft Park, Metairie, LA 70002-5736 | 2020-01-16 |
| 1386287977 | Andrea Janette Williams | Massage Therapist | 2440 Hwy 258n, Kinston, NC 28504-7203 | 2019-10-25 |
| 1114466869 | Andrea Michelle Williams | Psychologist | 10665 Stanhaven Pl Ste 3119, White Plains, MD 20695-3055 | 2017-02-14 |
| 1588100697 | Andrea Denise Williams | Home Health Aide | 319 Knob Hill Dr, 227 Kilmaine Court, Jackson, MS 39209-2822 | 2017-01-12 |
| 1669923678 | Andrea Lynn Williams | Registered Nurse | 15280 Shay Cut Off Rd, Kingston, OK 73439-8149 | 2016-10-14 |
| 1265803530 | Andrea Williams | Registered Nurse | 500 Congaree Church Rd, Gadsden, SC 29052-9713 | 2015-10-13 |
| 1447664545 | Andrea Renee Williams | Emergency Medicine | 799 Farson St - Emergency Department, Belpre, OH 45714 | 2014-06-17 |
| Street Address |
800 E 55TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560090 | Friend Family Health Center, Inc | Clinic/Center | 800 E 55th St, Chicago, IL 60615-4906 | 2005-06-30 |
| 1851930127 | Ashley B Deicher | Physician Assistant | 800 E 55th St, Chicago, IL 60615-4906 | 2020-01-03 |
| 1154967230 | Riskat Fadonougbo | Nurse Practitioner | 800 E 55th St, Chicago, IL 60615-4906 | 2019-11-23 |
| 1295376481 | Lauren Williams | Physician Assistant | 800 E 55th St, Chicago, IL 60615-4906 | 2019-09-30 |
| 1649824491 | Danielle D Cox | Social Worker | 800 E 55th St, Chicago, IL 60615-4906 | 2019-07-30 |
| 1689138448 | Surecare Discount Pharmacy 2 Inc | Pharmacy | 800 E 55th St, Chicago, IL 60615-4906 | 2019-01-25 |
| 1740752294 | Friend Family Health Center Inc | Case Management | 800 E 55th St, Chicago, IL 60615-4906 | 2018-12-21 |
| 1811473820 | Natalia Ruiz | Nurse Practitioner | 800 E 55th St, Chicago, IL 60615-4906 | 2018-07-12 |
| 1528553013 | Kayla Marchelle Jones | Nurse Practitioner | 800 E 55th St, Chicago, IL 60615-4906 | 2018-06-27 |
| 1952839755 | Gloria Ann Bell X | Social Worker | 800 E 55th St, Chicago, IL 60615 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228456 | The Angelo Method Tam LLC | Dietitian, Registered | 5440 N Cumberland Ave Ste 225, Chicago, IL 60656-1531 | 2019-01-02 |
| 1922238989 | Siu Mui Carman Cheng | Dietitian, Registered | 2850 S Michigan Ave, Chicago, IL 60616-5018 | 2009-07-23 |
| 1114425618 | Neda Khudeira | Dietitian, Registered | 8071 S Cicero Ave, Chicago, IL 60652-2003 | 2018-01-30 |
| 1235534884 | Julie Bendix | Dietitian, Registered | 6821 S Halsted St, Chicago, IL 60621-1833 | 2014-10-24 |
| 1215282868 | Avellino Group, Ltd | Dietitian, Registered | 4256 N Ravenswood Ave, Suite 221, Chicago, IL 60613-1110 | 2012-07-19 |
| 1467615419 | Margarita Nagy | Dietitian, Registered | 2020 W Harrison St, Chicago, IL 60612-3741 | 2008-07-09 |
| 1689775199 | Mary Julia Dyra | Dietitian, Registered | 211 E Chicago Ave, Suite 1050, Chicago, IL 60611-2637 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568893535 | Jason Caraballo | Dietitian, Registered | 1002 Monticello Dr, Aurora, IL 60506-5740 | 2013-12-02 |
| 1073847539 | Luz Adriana Sancen De Brown | Dietitian, Registered | 2009 Elm St, Quincy, IL 62301-3233 | 2009-09-30 |
| 1457506214 | Corporate Wellness Inc | Dietitian, Registered | 2272 W 95th St Ste 305, Naperville, IL 60564-8944 | 2008-11-20 |
| 1629227913 | Harriet Shelley Salzberg | Dietitian, Registered | 276 Chicory Ln, Buffalo Grove, IL 60089-1835 | 2008-09-11 |
| 1053456384 | Susan Kagen Podell | Dietitian, Registered | 560 N Midlothian Rd, Suite 400, Mundelein, IL 60060-1654 | 2007-02-21 |
| 1992299788 | Walsh Nutrition Group, Inc. | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
| 1639663412 | Laura Walsh | Dietitian, Registered | 1333 Burr Ridge Pkwy Ste 200, Burr Ridge, IL 60527-0833 | 2018-06-15 |
| 1104281948 | Anahid Edjlali | Dietitian, Registered | 790 Remington Blvd, Bolingbrook, IL 60440 | 2015-12-21 |
| 1861883407 | Wendy Arnold | Dietitian, Registered | 2614 W Jefferson St, Joliet, IL 60435-6433 | 2015-02-17 |
| 1659632602 | Si Medical, Inc. | Dietitian, Registered | 1909 W Coolidge Ave, Marion, IL 62959-1097 | 2012-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.