Active NPI
Amanda Sheaffer Sheaffer
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1235728395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86093797
- Practice address
- 625 W Adams St
Wewrok 20-144
Chicago, IL 60661 - Phone
- (847) 609-9101
- NPI assigned
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86093797 | CA | Primary |
Addresses
Primary practice location
625 W Adams St
Wewrok 20-144
Chicago, IL 60661
Mailing address
1040 W Adams St Unit 375
Chicago, IL 60607-3090
Phone (847) 609-9101
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86093797 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1235728395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 W ADAMS ST UNIT 375",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073090",
"telephone_number": "847-609-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W ADAMS ST",
"address_2": "WEWROK 20-144",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60661",
"telephone_number": "847-609-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAFFER",
"first_name": "AMANDA",
"middle_name": "SHEAFFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86093797",
"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 31, 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.