Active NPI
Andrea Evelyn Hinojosa, MS RDN CLC
- Registered Dietitian
- River Grove, IL
National Provider Identifier
1952916801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86054710
- Practice address
- 2832 Auxplaines Ave
River Grove, IL 60171-1408 - Phone
- (708) 705-1613
- NPI assigned
- Sep 8, 2020
- Last updated
- Sep 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86054710 | IL | Primary |
Addresses
Primary practice location
2832 Auxplaines Ave
River Grove, IL 60171-1408
Mailing address
2832 Auxplaines Ave
River Grove, IL 60171-1408
Phone (708) 705-1613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320686 | Other | CERTIFIED LACTATION COUNSELOR |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86054710 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1952916801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2832 AUXPLAINES AVE",
"city": "RIVER GROVE",
"state": "IL",
"postal_code": "601711408",
"telephone_number": "708-705-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2832 AUXPLAINES AVE",
"city": "RIVER GROVE",
"state": "IL",
"postal_code": "601711408",
"telephone_number": "708-705-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINOJOSA",
"first_name": "ANDREA",
"middle_name": "EVELYN",
"credential": "MS RDN CLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "86054710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED LACTATION COUNSELOR",
"identifier": "320686",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in River Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.