Active NPI
Andrea Tenley, RDN, LDN
- Registered Dietitian
- Galesburg, IL
National Provider Identifier
1356723241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164006490
- Practice address
- 546 Olive St
Galesburg, IL 61401-3462 - Phone
- (309) 335-2111
- NPI assigned
- Jun 26, 2015
- 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 | 164006490 | IL | Primary |
Addresses
Primary practice location
546 Olive St
Galesburg, IL 61401-3462
Mailing address
1051 W South St
Kewanee, IL 61443-8354
Phone (309) 852-7500
Other practice location 1
1051 W South St
Kewanee, IL 61443-8354
Phone (309) 852-7500 ext. 7734
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | 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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575158400000",
"number": "1356723241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 W SOUTH ST",
"city": "KEWANEE",
"state": "IL",
"postal_code": "614438354",
"telephone_number": "309-852-7500",
"fax_number": "309-852-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 OLIVE ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614013462",
"telephone_number": "309-335-2111"
}
],
"practiceLocations": [
{
"address_1": "1051 W South St",
"address_purpose": "LOCATION",
"city": "Kewanee",
"state": "IL",
"postal_code": "614438354",
"country_code": "US",
"telephone_number": "309-852-7500 x7734",
"fax_number": "309-852-7764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TENLEY",
"first_name": "ANDREA",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2019-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164006490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.