AMANDA MODER (NPI# 1023494283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023494283 |
| Entity Type | Individual |
| Full Name | AMANDA MODER |
| Credential | RD, LD |
| Practice Address |
500 37th St Nw Rochester MN 55901-3404 |
| Mailing Address |
308 9th Ave Ne Apt 313 Byron MN 55920-1545 |
| Practice Telephone | 5072890266 |
| Mailing Telephone | 5072028215 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 3566 | MN | Dietary & Nutritional Service Providers |
| Street Address |
500 37TH ST NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134161680 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 500 37th St Nw, Rochester, MN 55901-3404 | 2006-06-11 |
| 1548804461 | Emily Mcmillan | Dietitian, Registered | 500 37th St Nw, Rochester, MN 55901-3404 | 2019-11-04 |
| 1396252334 | Brian Thomas Fisk | Pharmacist | 500 37th St Nw, Rochester, MN 55901-3404 | 2017-12-29 |
| 1326555368 | Jane Teresa Walther | Pharmacist | 500 37th St Nw, Rochester, MN 55901-3404 | 2017-12-29 |
| 1710227772 | Kaitlin Marie Anderson | Dietitian, Registered | 500 37th St Nw, Rochester, MN 55901-3404 | 2013-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| 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 |
|---|---|---|---|---|
| 1932706454 | Bailey Specht | Dietitian, Registered | 601 Elmwood Ave Ste G, Rochester, NY 14642-0001 | 2020-10-07 |
| 1255949954 | Curtis Aaron Hinterberger | Dietitian, Registered | 161 Rossiter Rd, Rochester, NY 14620-4127 | 2020-07-20 |
| 1760004519 | Claire Mcgrath Savini | Dietitian, Registered | 1999 Mount Read Blvd, Rochester, NY 14615-3700 | 2020-05-15 |
| 1740809177 | Diksha Chhabra | Dietitian, Registered | 1044 River Mist Dr, Rochester, MI 48307-2263 | 2020-04-15 |
| 1700414927 | Katherine Kelly Streeter | Dietitian, Registered | 90 Kiniry Dr, Rochester, NY 14609-3062 | 2020-04-01 |
| 1164069548 | Amber Chiu | Dietitian, Registered | 1577 Elmwood Ave, Rochester, NY 14620-3622 | 2019-12-05 |
| 1902449796 | Susan Marie Figaro Grace | Dietitian, Registered | 1 Lomb Memorial Dr, Rochester, NY 14623-5603 | 2019-10-24 |
| 1841833662 | Jean Stanley Wingard | Dietitian, Registered | 1000 South Ave # 28, Rochester, NY 14620-2782 | 2019-10-24 |
| 1508416728 | Jennifer Nguyen | Dietitian, Registered | 630 East Ave, Rochester, NY 14607-2178 | 2019-09-19 |
| 1992358907 | Audra Stickney | Dietitian, Registered | 783 Library Rd, Rochester, NY 14627 | 2019-07-18 |
| Find all providers in ROCHESTER | ||||
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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.