Ashley M Anderson, MS, RDN, LDN, CPT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164007132 Issued in IL

Practice address

240 W River Dr
St Charles, IL 60174-5535

Phone

(630) 938-9552

NPI assigned

Sep 9, 2019

Last updated

Feb 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1154970556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E PIERCE ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601198928",
            "telephone_number": "847-975-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W RIVER DR",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745535",
            "telephone_number": "630-938-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, LDN, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164007132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie M. Amodeo, FNP-BC
• Ampersand Autism Services, LLC
• Hayley Amsbaugh, PHD
• Judith K. Andersen, P.T., M.S.
• Susan Michelle Andersen, M.S., CF-SLP
• Barbara Ann Anderson, PT
• Christine M. Anderson, MS, ED, NCC, LCPC
• Colton James Anderson, DC
• Deborah L Anderson, PHARM D., RPH
• Grace Elizabeth Anderson

• Registered Dietitian in St Charles, IL
• Providers in St Charles, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.