Active NPI
Amanda Christine Harrington, RDN
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1053969147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.007791
- Practice address
- 2003 W Fulton St Ste 300
Chicago, IL 60612-2345 - Phone
- (312) 850-3438
- NPI assigned
- Aug 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.007791 | IL | Primary |
Addresses
Primary practice location
2003 W Fulton St Ste 300
Chicago, IL 60612-2345
Mailing address
2003 W Fulton St Ste 300
Chicago, IL 60612-2345
Phone (312) 850-3438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4270036 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.dietitiansathome.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.007791 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitians at Home Inc | Dietitian, Registered | Current | Accepting new patients |
Locations
2003 W Fulton St
Ste 105
Chicago, IL 60612
Phone (312) 850-3437
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567209600000",
"number": "1053969147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 W FULTON ST STE 300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122345",
"telephone_number": "312-850-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 W FULTON ST STE 300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122345",
"telephone_number": "312-850-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRINGTON",
"first_name": "AMANDA",
"middle_name": "CHRISTINE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-31",
"last_updated": "2019-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.007791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4270036",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.dietitiansathome.com",
"affiliation": "N",
"address_1": "2003 W Fulton St Ste 300",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606122345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.