Individual provider Active NPI

Andrea Joan Frale-Klouda, RD MPH CCN LDN

  • Registered Dietitian
  • Sugar Grove, IL
National Provider Identifier
1205008158
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
614 Hickory Street
Sugar Grove, IL 60554-9302
Phone
(630) 885-7907
Fax
(630) 466-1971
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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 IL Primary

Addresses

Primary practice location

614 Hickory Street
Sugar Grove, IL 60554-9302

Mailing address

614 Hickory Street
Sugar Grove, IL 60554-9302
Phone (630) 885-7907

Other names 1

  • Ms. Andrea Joan Frale Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
164000951ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1205008158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 HICKORY STREET",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549302",
            "telephone_number": "630-885-7907",
            "fax_number": "630-466-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 HICKORY STREET",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549302",
            "telephone_number": "630-885-7907",
            "fax_number": "630-466-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALE-KLOUDA",
        "first_name": "ANDREA",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "RD MPH CCN LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "FRALE",
            "middle_name": "JOAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sugar Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.