ANDRE SHOOK
NPI 1457168304
Dietitian, Registered in Palo Alto, CA

Active since December 13, 2024
2627 HANOVER ST, PALO ALTO, CA 94304(979) 366-3564(870) 408-4062 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2026, Dec 18, 2024, Dec 13, 2024 (3 updates tracked since 2024).

About Andre Shook NPPES

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

ANDRE SHOOK (NPI 1457168304) is an individual dietitian, registered in Palo Alto, California, licensed in Utah (86295452) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1457168304
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameANDRE SHOOK
Location Address2627 HANOVER STPalo Alto, CA 94304-1118
Mailing Address1610 S Azure Ridge CirWashington, UT 84780-2296 · (714) 709-1014
Fax(870) 408-4062
Sole ProprietorNo
Enumeration DateDecember 13, 2024
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
NPI 1457168304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in UT · 86295452 Licensed in FL · ND14032
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.

2627 HANOVER ST, Palo Alto, CA 94304

Accepted Insurance

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
2627 HANOVER ST
PALO ALTO, CA 94304
Preventive Medicine (Obesity Medicine)
2627 HANOVER ST
PALO ALTO, CA 94304
Dietitian, Registered
2627 HANOVER ST
PALO ALTO, CA 94304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457168304, enumerated as an "individual" on December 13, 2024.

The provider is located at 2627 HANOVER ST PALO ALTO, CA 94304 and the phone number is (979) 366-3564.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.