AMANDA GLASS (NPI# 1134619158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134619158 |
| Entity Type | Individual |
| Full Name | AMANDA GLASS |
| Credential | MA, RD, CD |
| Practice Address |
615 N Michigan St South Bend IN 46601-1033 |
| Practice Telephone | 5746471000 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86015474 | IN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870433 | Amanda Glass | Speech-Language Pathologist | 116 E Augustin Dr, Loretto, TN 38469-2365 | 2020-01-17 |
| 1104327030 | Amanda Glass | Chiropractor | 1518 Legacy Dr Ste 280, Frisco, TX 75034-6042 | 2018-02-26 |
| 1023474020 | Amanda Glass | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2016-01-06 |
| 1679772560 | Amanda Lee Glass | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2007-07-12 |
| 1619187770 | Amanda Elizabeth Glass | Social Worker | 138 W 25th St Ste 802, New York, NY 10001-7405 | 2007-05-23 |
| Street Address |
615 N MICHIGAN ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801283 | Russell F Johnson | Radiology | 615 N Michigan St, 1st Floor, South Bend, IN 46601-1033 | 2005-09-14 |
| 1265048078 | Sarah Ellen Pritt | Technician | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-09-17 |
| 1740803238 | Taylor Reinhardt | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-05-19 |
| 1720613268 | Jennifer Lynn Boyd | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-03-05 |
| 1104451798 | Ryan Lipinski | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-03-04 |
| 1669007241 | Alexandra Rain Ross | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-03-04 |
| 1538717848 | Emily Mastelou-page | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2019-08-29 |
| 1477021038 | Ashlee Dennise Swafford | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-11-12 |
| 1487132114 | South Bend Emergency Physicians, Inc | Emergency Medicine | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-08-03 |
| 1962993386 | Gail Gronek Weismann | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| 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 |
|---|---|---|---|---|
| 1598218950 | Erin Hurst | Dietitian, Registered | 6301 University Commons Ste 430, South Bend, IN 46635-1416 | 2016-08-02 |
| 1568681989 | Maureen Renee Jamieson | Dietitian, Registered | Memorial Hospital, 615 N Michigan, South Bend, IN 46601 | 2007-04-24 |
| 1407988983 | Vickie Craker | Dietitian, Registered | 100 Navarre Pl Ste 5550, South Bend, IN 46601-1169 | 2007-03-11 |
| 1861012809 | Erin Hurst Nutrition & Wellness, LLC | Dietitian, Registered | 6301 University Commons Ste 430, South Bend, IN 46635-1416 | 2020-04-20 |
| 1962993386 | Gail Gronek Weismann | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-21 |
| 1487145017 | Cecily Maes | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1087 | 2018-05-18 |
| 1245729946 | Kaitlin Wiley | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-08 |
| 1255820940 | Kelsey Lynn Herwick | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-08 |
| 1689193096 | Denise Garoutte-bell | Dietitian, Registered | 1216 West Robert Bush Drive, South Bend, WA 98586 | 2017-09-18 |
| 1578013058 | Jennifer N Besemer | Dietitian, Registered | 211 N Eddy St., South Bend, IN 46617 | 2016-10-10 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on AMANDA GLASS.
| 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.