Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Shook

Individual provider Registered Dietitian · NPI 1457168304

Andre Shook is a Registered Dietitian OR Nutrition Professional in Palo Alto, California. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in Florida and Utah.

Years since qualifying
4
Licensed in
FL, UT
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2627 Hanover St
Palo Alto, CA 94304-1118
Phone: (979) 366-3564
Fax: (870) 408-4062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86295452 (UT)
Registered Dietitian Taxonomy 133V00000X · Licence ND14032 (FL)

Record details

NPI number1457168304
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 13, 2024
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Palo Alto