AMANDA MARIE CROSBY


Address: 1116 N 16th St, Lafayette, IN 47904-2119
Phone: 7654285850

AMANDA MARIE CROSBY (NPI# 1255869319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255869319
Entity Type Individual
Full Name AMANDA MARIE CROSBY
Credential RD, CDE
Practice Address 1116 N 16th St
Lafayette
IN 47904-2119
Mailing Address 1501 Hartford St
Lafayette
IN 47904-2134
Practice Telephone 7654285850
Enumeration Date 2017-06-01
Last Update Date 2018-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Other Providers AMANDA CROSBY

NPI Name Taxonomy Address Enumeration
1790801017 Amanda Crosby Occupational Therapist 7440 Thomaston Rd, Macon, GA 31220-5160 2007-03-21

Office Location

Street Address 1116 N 16TH ST
City LAFAYETTE
State IN
Zip Code 47904-2119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952370991 Corby Louise Thiel Nurse Practitioner 1116 N 16th St, Lafayette, IN 47904-2119 2006-03-14
1790334118 Cody Levi Nelson Nurse Practitioner 1116 N 16th St, Lafayette, IN 47904-2119 2019-09-09
1225500747 Genoia Beth Segal Registered Nurse 1116 N 16th St, Lafayette, IN 47904-2119 2018-12-21
1417444944 Ashley Turner Nurse Practitioner 1116 N 16th St, Lafayette, IN 47904 2018-04-19
1821596040 Elizabeth Ann Lana Registered Nurse 1116 N 16th St, Lafayette, IN 47904-2119 2018-01-23
1255846697 Kelli Ann Conlon Social Worker 1116 N 16th St, Lafayette, IN 47904-2119 2017-12-07
1750896569 Mick A Schoenradt Counselor 1116 N 16th St, Lafayette, IN 47904-2119 2017-12-04
1962939652 Anne Caroline Johnson Physical Therapist 1116 N 16th St, Lafayette, IN 47904-2119 2017-05-12
1154705002 Mary C Eberle Social Worker 1116 N 16th St, Lafayette, IN 47904-2119 2015-07-09
1871986661 Autumn Wall Social Worker 1116 N 16th St, Lafayette, IN 47904-2119 2015-03-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
Find all providers in zip 47904

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154886018 Stephanie B Kobetz Dietitian, Registered 105 Branch Cir, Lafayette, LA 70508-6323 2019-02-05
1497236046 Frances Mcintosh Dietitian, Registered 332 E Farrel Rd Ste C, Lafayette, LA 70508-7183 2018-08-22
1073052692 Amy Staggs Dietitian, Registered 101 W Farrel Rd Ste 101, Lafayette, LA 70508-7243 2017-02-15
1619419124 Kara M Booth Dietitian, Registered 35 Executive Dr, Suite 5, Lafayette, IN 47905-3835 2016-11-15
1629443841 Corryn Smith Taylor Dietitian, Registered 411 Saint Patrick St, Lafayette, LA 70506-4552 2015-12-14
1841605755 Elizabeth Champagne, LLC Dietitian, Registered 1304 Lafayette St, Lafayette, LA 70501-6842 2014-06-30
1275959348 Jennifer Jackson Dietitian, Registered 101 Vinemont Dr, Lafayette, LA 70501-6579 2014-03-12
1134475254 Traci Quebedeaux Dietitian, Registered 201 W. Willow St Bldg A, Lafayette, LA 70501 2012-07-26
1063772671 Jessica Person Eckert Dietitian, Registered 209 Marquette Dr, Lafayette, LA 70503-6640 2012-05-17
1710246962 Kathleen N Bishop Dietitian, Registered 100 Winchester Dr, Apt 402, Lafayette, LA 70506-6096 2012-05-09
Find all providers in LAFAYETTE

Competitor

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City LAFAYETTE
Zip Code 47904

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Dataset Information

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.

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