Individual provider Active NPI

Amanda Nicole Gledhill, RDN, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1134627748
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.007147 Issued in IL
Practice address
200 E Ohio St Ste 400
Chicago, IL 60611-7233
Phone
(920) 915-4584
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.007147 IL Primary

Addresses

Primary practice location

200 E Ohio St Ste 400
Chicago, IL 60611-7233

Mailing address

333 N Michigan Ave Ste 1900
Chicago, IL 60601-3994

Other practice location 1

150 E Huron St Ste 1300
Chicago, IL 60611-2999
Phone (920) 915-4584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.007147ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Rabbit Holes Counseling PastSince Oct 22, 2023 Accepting new patients

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": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1134627748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 1900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E OHIO ST STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117233",
            "telephone_number": "920-915-4584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Huron St Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112999",
            "country_code": "US",
            "telephone_number": "920-915-4584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEDHILL",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.007147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.