AMANDA SALLEY (NPI# 1043757149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043757149 |
| Entity Type | Individual |
| Full Name | AMANDA SALLEY |
| Credential | MS, RD, CSP, LDN |
| Practice Address |
1900 Sycamore Rd Homewood IL 60430-2323 |
| Practice Telephone | 2608042880 |
| Mailing Telephone | 2608042880 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
164.006966 | IL | Dietary & Nutritional Service Providers |
| Street Address |
1900 SYCAMORE RD |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238941 | Beth Helmold | Dietitian, Registered | 111 N 5th Ave, Morton, IL 61550-2103 | 2019-01-08 |
| 1831665405 | Grazyna Gawedzki | Dietitian, Registered | 829 Austin Ave, Park Ridge, IL 60068-2682 | 2018-10-22 |
| 1215446463 | Sarah Berglind | Dietitian, Registered | 7640 W Coach Rd, Palos Heights, IL 60463-1244 | 2017-09-20 |
| 1932641750 | Tara Todd | Dietitian, Registered | 3312 Forest Hill School Rd, Millstadt, IL 62260-3116 | 2016-11-10 |
| 1639553142 | Bianca Roe | Dietitian, Registered | 2630 W Bradley Pl Ste A, Chicago, IL 60618-4704 | 2015-07-14 |
| 1144620261 | Julie Ann Mota | Dietitian, Registered | 728 S Madison Ave, La Grange, IL 60525-2805 | 2014-08-26 |
| 1902205370 | Kathleen Sheldon | Dietitian, Registered | 5332 Woodland Ave, Western Springs, IL 60558-1854 | 2014-08-21 |
| 1487925996 | Amanda Nelson | Dietitian, Registered | 2814 Miller Rd, Geneva, IL 60134-3996 | 2012-01-16 |
| 1790090033 | Diane Martinez Dadivas | Dietitian, Registered | 8439 N Clifton Ave, Niles, IL 60714-1803 | 2010-08-11 |
| 1801022645 | Lauren Kime | Dietitian, Registered | 1747 N Cleveland Ave Apt 1f, Chicago, IL 60614-9250 | 2009-06-08 |
| Find all providers with the same taxonomy | ||||
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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.