Individual provider Active NPI

Viridiana Hernandez, RD

  • Registered Dietitian
  • Lombard, IL
National Provider Identifier
1730907957
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.008066 Issued in IL
Practice address
21W549 North Ave Apt 131
Lombard, IL 60148-6801
Phone
(630) 808-5005
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 164.008066 IL Primary

Addresses

Primary practice location

21W549 North Ave Apt 131
Lombard, IL 60148-6801

Mailing address

21W549 North Ave Apt 131
Lombard, IL 60148-6801
Phone (630) 808-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023000860 IL Practitioner - Registered Dietitian Or Nutrition Professional 8022541564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy All Time LLCGroup PAC ID 6002354362, 7 clinicians

Practice addresses (Care Compare)

7124 W 83Rd St
Unit D
Bridgeview, IL 60455-4034
Phone (224) 410-6607

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.008066ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Healthy All Time LLC Dietitian, Registered CurrentSince Oct 14, 2024 Accepting new patients
Loyola University Medical Center CurrentSince Jan 1, 2026 Accepting new patients

Locations

7124 W 83rd St
Bridgeview, IL 60455
Phone (224) 410-6607

7124 W 83rd St
Unit D
Bridgeview, IL 60455
Phone (224) 410-6607

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1730907957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21W549 NORTH AVE APT 131",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486801",
            "telephone_number": "630-808-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21W549 NORTH AVE APT 131",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486801",
            "telephone_number": "630-808-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "VIRIDIANA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.008066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.