Active NPI
Happy Health and Nutrition, LLC
- Registered Dietitian
- Palos Hills, IL
National Provider Identifier
1083245575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- HAPPY HEALTH AND NUTRITION, LLC
- Practice address
- 10240 S 80TH CT
Palos Hills, IL 60465-1405 - Phone
- (312) 882-1162
- Fax
- (708) 690-3108
- NPI assigned
- Feb 3, 2020
- Last updated
- Feb 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Raquel Lopez, RDN LDN
- Title
- Administrator/Registered Dietitian
- Phone
- (312) 882-1162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
10240 S 80TH CT
Palos Hills, IL 60465-1405
Mailing address
10240 S 80TH CT
Palos Hills, IL 60465-1405
Phone (312) 882-1162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619308608 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | officeally | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13423 Blanco Rd
San Antonio, TX 78216
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obesity and Weight Management Nutrition Registered Dietitian
- Willowbrook, IL
- NPI 1619308608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580688000000",
"number": "1083245575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 S 80TH CT",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651405",
"telephone_number": "312-882-1162",
"fax_number": "708-690-3108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10240 S 80TH CT",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604651405",
"telephone_number": "312-882-1162",
"fax_number": "708-690-3108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAPPY HEALTH AND NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-03",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "RAQUEL",
"authorized_official_title_or_position": "ADMINISTRATOR/REGISTERED DIETITIAN",
"authorized_official_telephone_number": "312-882-1162",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RDN LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619308608",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "officeally",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10240 S 80th Ct",
"city": "Palos Hills",
"state": "IL",
"country_code": "US",
"postal_code": "604651405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palos Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.