ANDREA RAE O'DONNELL (NPI# 1740710060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740710060 |
| Entity Type | Individual |
| Full Name | ANDREA RAE O'DONNELL |
| Credential | RD, LDN |
| Practice Address |
2865 N Clybourn Ave Chicago IL 60618-8269 |
| Practice Telephone | (773) 270-0469 |
| Mailing Telephone | 7732700469 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | IL | Dietary & Nutritional Service Providers | |
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
IL | Dietary & Nutritional Service Providers | |
| Y | 133V00000X | Dietitian, Registered | 983479 | IL | Dietary & Nutritional Service Providers |
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
IL | Dietary & Nutritional Service Providers | |
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
IL | Dietary & Nutritional Service Providers | |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033388582 | Andrea Lee O'donnell | Speech-Language Pathologist | 6960 Destiny Dr, Suite 117, Rocklin, CA 95677-2993 | 2008-02-28 |
| 1336236389 | Andrea Regina O'donnell | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-10-09 |
| Street Address |
2865 N CLYBOURN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60618-8269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801102322 | Karissa Marie Dunkleyshurts | Neurological Surgery | 2865 N Clybourn Ave, Number 3, Chicago, IL 60618-8269 | 2010-08-21 |
| 1457972812 | Natalia Desouza | Counselor | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2020-04-27 |
| 1588226757 | Layton Kirk | Counselor | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2019-07-08 |
| 1730643438 | Ashley Bennett | Social Worker | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2019-01-27 |
| 1871943415 | Erin Fisher | Social Worker | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2016-06-14 |
| 1417341306 | Angela Alexander | Counselor | 2865 N Clybourn Ave, Ground Floor, Chicago, IL 60618-8269 | 2015-03-27 |
| 1003169830 | Andrea Nicole Good | Counselor | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2012-10-17 |
| 1669736401 | Julianne C Neely | Social Worker | 2865 N Clybourn Ave, Ground Floor, Chicago, IL 60618-8269 | 2012-06-26 |
| 1871857615 | Individual and Family Connection, LLC | Social Worker | 2865 N Clybourn Ave, Chicago, IL 60618-8269 | 2012-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1699317404 | Joseph Thank Harmon | Registered Nurse | 5645 W Addison, Chicago, IL 60618 | 2019-10-14 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1528540986 | Ruby Erdmann | Dietitian, Registered | 3126 N Kimball Ave. #3w, Chicago, IL 60618 | 2018-09-02 |
| 1962997064 | Living Roots Psychotherapy, LLC | Clinic/Center | 4310 N Spaulding Ave, Chicago, IL 60618 | 2018-06-30 |
| 1962920116 | Alif Muhammad | Counselor | 3819 W Cornelia Ave #2, Chicago, IL 60618 | 2017-09-07 |
| 1417471178 | Daniel Lee Mcmillan | Counselor | 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 | 2017-08-03 |
| 1508380486 | Callie Weinberg | Social Worker | 2945 N Damen Ave, 1s, Chicago, IL 60618 | 2017-08-01 |
| 1275062697 | Melissa Ann Prest | Dietitian, Registered | 3258 W Warner Ave, Apt 2, Chicago, IL 60618 | 2017-06-08 |
| 1871951038 | Bionic Prosthetics and Orthotics Group LLC | Prosthetic/Orthotic Supplier | 4315 N. Lincoln Avenue, Chicago, IL 60618 | 2016-02-03 |
| Find all providers in zip 60618 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1447867668 | Daniela Jannette | Dietitian, Registered | 1400 N Lake Shore Dr Apt 11b, Chicago, IL 60610-6637 | 2020-09-30 |
| 1598372252 | Nora P Egan | Dietitian, Registered | 2266 W 109th St, Chicago, IL 60643-3212 | 2020-09-28 |
| 1700490273 | Adriana Chychula | Dietitian, Registered | 2229 W Rice St, Chicago, IL 60622-4858 | 2020-09-02 |
| 1912519703 | Melissa Freeman | Dietitian, Registered | 225 E Chicago Ave # 23, Chicago, IL 60611-2991 | 2020-08-21 |
| 1346859873 | Jessica Mcfadden | Dietitian, Registered | 360 W Hubbard St Apt 3910, Chicago, IL 60654-5730 | 2020-07-30 |
| 1114535143 | Jannette Rho | Dietitian, Registered | 3149 N Springfield Ave Apt 3a, Chicago, IL 60618-6550 | 2020-07-15 |
| 1740807437 | Lisa Schrader | Dietitian, Registered | 2003 W Fulton St Ste 3oo, Chicago, IL 60612-2345 | 2020-06-29 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.