AMY E GHOLSTON MS, RD, CSO, CNSC
NPI 1346726510
Dietitian, Registered in Zion, IL

Active since July 11, 2018
2520 ELISHA AVE, ZION, IL 60099(847) 731-5093 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amy E Gholston Ms, Rd, Cso, Cnsc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY E GHOLSTON MS, RD, CSO, CNSC (NPI 1346726510) is an individual dietitian, registered in Zion, Illinois, licensed in Illinois (164.006277) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1346726510
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMY E GHOLSTONCredential: MS, RD, CSO, CNSC
Location Address2520 ELISHA AVEZion, IL 60099-2676
Mailing Address2520 Elisha AveZion, IL 60099-2676
Sole ProprietorNo
Enumeration DateJuly 11, 2018
✔ NPI 1346726510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 164.006277
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2520 ELISHA AVE, Zion, IL 60099

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy E Gholston Ms, Rd, Cso, Cnsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amy Gholston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
2520 ELISHA AVE
Zion, IL 60099
  • Reassigned Medicare billing, Illinois enrollment
  • 253 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2520 ELISHA AVE
ZION, IL 60099
Speech-Language Pathologist
2520 ELISHA AVE
ZION, IL 60099
Specialist/Technologist, Other (Surgical Assistant)
2520 ELISHA AVE
ZION, IL 60099
Dietitian, Registered
2520 ELISHA AVE
ZION, IL 60099
Radiology (Vascular & Interventional Radiology)
2520 ELISHA AVE
ZION, IL 60099
Dietitian, Registered
2520 ELISHA AVE
ZION, IL 60099
Physician Assistant
2520 ELISHA AVE
ZION, IL 60099
Nurse Practitioner
2520 ELISHA AVE
ZION, IL 60099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Gholston's NPI number?

The NPI number for Amy Gholston is 1346726510. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Amy Gholston located?

Amy Gholston practices at 2520 Elisha Ave, Zion, IL 60099. The listed phone number is (847) 731-5093.

What is Amy Gholston's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Amy Gholston enrolled in Medicare?

Yes. Amy Gholston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Gholston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Gholston reassigns Medicare benefits to City Of Hope Medical Group Of Illinois PLLC (Zion, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Gholston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Gholston accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Amy Gholston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Gholston was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.