Active NPI
Anne Guinane, RD, LDN
- Registered Dietitian
- Blue Island, IL
National Provider Identifier
1942571666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.005621
- Practice address
- 12935 Gregory St
Blue Island, IL 60406-2428 - Phone
- (708) 824-4659
- NPI assigned
- Jan 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.005621 | IL | Primary |
| Nutrition Education Nutritionist | 133NN1002X | 164.005621 | ||
| Registered Dietitian | 133V00000X | |||
| Nutritionist | 133N00000X | 164.005621 | IL | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 164.005621 | IL | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 164.005621 | IL | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 164.005621 | IL |
Addresses
Primary practice location
12935 Gregory St
Blue Island, IL 60406-2428
Mailing address
10459 S Talman Ave
Chicago, IL 60655-1620
Phone (708) 715-7420
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
| License | State | Type | Specialty |
|---|---|---|---|
| 164.005621 | IL | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1942571666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10459 S TALMAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606551620",
"telephone_number": "708-715-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12935 GREGORY ST",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604062428",
"telephone_number": "708-824-4659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUINANE",
"first_name": "ANNE",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-26",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.005621",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": "164.005621",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": "164.005621",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "IL",
"license": "164.005621",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "IL",
"license": "164.005621",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "IL",
"license": "164.005621",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.