Alicia R Edwards, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.006515 Issued in IL

Practice address

826 W Touhy Ave
Park Ridge, IL 60068-3352

Phone

(847) 825-0770

Fax

(312) 648-0155

NPI assigned

Dec 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alicia R Huggler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fitness Formula, LTD

  dba FormuLifeRX

  • Registered Dietitian
  • Chicago, IL
  • NPI 1033596440

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1356885412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W TOUHY AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683352",
            "telephone_number": "847-825-0770",
            "fax_number": "312-648-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W TOUHY AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683352",
            "telephone_number": "847-825-0770",
            "fax_number": "312-648-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALICIA",
        "middle_name": "R",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.006515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "HUGGLER",
            "middle_name": "R",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Mullan Eberline, M.S. CCC-SLP
• Elizabeth Eck
• Edison DME LTD
• Kathleen Edmier, PSYD, BCBA
• Edward Hines VA Hospital
• Carolyn Vale Edwards, PH.D.
• Gabriel Jara-Almonte Edwards, LCSW
• Janis L Edwards, L.C.S.W.
• Paul Edwards, PMHNP
• Jayne Chinwoke Ehirim, DNP, APRN, PMHNP-BC

• Registered Dietitian in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.