Organization Active NPI

Happy Health and Nutrition, LLC

  • Registered Dietitian
  • Palos Hills, IL
National Provider Identifier
1083245575
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1619308608MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL officeally Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200423000935 IL Part B Supplier - Clinic/Group Practice 8527498054 Receives reassigned benefits from 1 practitioner
Practice locations: Willowbrook, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.