Individual provider Active NPI

Anna Anderson, LDN, RD

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1669284840
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164011689 Issued in IL
Practice address
1276 N Clybourn Ave
Chicago, IL 60610-2089
Phone
(312) 337-1078
NPI assigned
Jan 23, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU
Registered Dietitian 133V00000X 164011689 IL Primary

Addresses

Primary practice location

1276 N Clybourn Ave
Chicago, IL 60610-2089

Mailing address

6204 S Normandy Ave
Chicago, IL 60638-4124
Phone (773) 960-2921

Other practice location 1

2844 N Milwaukee Ave
Chicago, IL 60618-7401
Phone (773) 661-3349

Other practice location 2

4259 S Berkeley Ave
Chicago, IL 60653-3030
Phone (773) 268-7600

Other practice location 3

150 E Huron St
Chicago, IL 60611-2999
Phone (312) 741-8554

Other practice location 4

4829 S Cottage Grove Ave
Chicago, IL 60615-1600
Phone (773) 548-1170

Other practice location 5

800 N Kedzie Ave
Chicago, IL 60651-4100
Phone (773) 826-3450

Other practice location 6

1520 N Kostner Ave
Chicago, IL 60651-1610
Phone (312) 216-8020

Other practice location 7

4140 N Broadway St
Chicago, IL 60613-2121
Phone (773) 878-8098

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
164011689ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Allara Medical Group PA 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1669284840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 S NORMANDY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384124",
            "telephone_number": "773-960-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102089",
            "telephone_number": "312-337-1078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2844 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606187401",
            "country_code": "US",
            "telephone_number": "773-661-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4259 S Berkeley Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606533030",
            "country_code": "US",
            "telephone_number": "773-268-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 E Huron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112999",
            "country_code": "US",
            "telephone_number": "312-741-8554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4829 S Cottage Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606151600",
            "country_code": "US",
            "telephone_number": "773-548-1170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606514100",
            "country_code": "US",
            "telephone_number": "773-826-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 N Kostner Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606511610",
            "country_code": "US",
            "telephone_number": "312-216-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4140 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132121",
            "country_code": "US",
            "telephone_number": "773-878-8098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANNA",
        "credential": "LDN, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164011689",
            "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 Jan 23, 2025; 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.