MRS. AMANDA JO PANTONE (NPI# 1386259786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386259786 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA JO PANTONE |
| Other Name | MISS AMANDA JO HOFFMAN |
| Credential | RD, LD |
| Practice Address |
3000 S State Road 135 Greenwood IN 46143-9825 |
| Mailing Address |
1612 Perry Commons Blvd Indianapolis IN 46217-8400 |
| Practice Telephone | 3174976833 |
| Mailing Telephone | 3179180257 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | IN | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5908 E Stop 11 Rd, Indianapolis, IN 462378683 | 3174976833 |
| Street Address |
3000 S STATE ROAD 135 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-9825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144250689 | David K Booth II | Family Medicine | 3000 S State Road 135, Suite 310, Greenwood, IN 46143-9825 | 2006-07-03 |
| 1144889486 | Jamie Marie Wallace | Physical Therapist | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2019-06-11 |
| 1376029223 | Jordan Lee Clark | Pharmacist | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2018-07-13 |
| 1649786765 | Chelsea Angelo | Speech-Language Pathologist | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2017-12-27 |
| 1174066856 | Andrew Keith Roark | Physical Therapist | 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 | 2016-11-29 |
| 1982054771 | Kiersten Hunter | Speech-Language Pathologist | 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 | 2016-06-13 |
| 1992164297 | Jacqueline Fleagle | Physical Therapist | 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 | 2016-02-15 |
| 1114357506 | Jillian E Sullivan | Psychologist | 3000 S State Road 135, Suite 230, Greenwood, IN 46143-9607 | 2013-11-20 |
| 1629407754 | Heidi Jo Coppess | Physical Therapist | 3000 S State Road 135, Greenwood, IN 46143-9607 | 2013-11-08 |
| 1376972844 | Laura Fikes | Occupational Therapist | 3000 S State Road 135, Greenwood, IN 46143-9607 | 2013-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| 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 |
|---|---|---|---|---|
| 1942813324 | Morgan Stasik | Dietitian, Registered | 3364 Auburn Ct, Greenwood, IN 46143-9259 | 2020-08-26 |
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1306312723 | Jillian Moore | Dietitian, Registered | 25617 S Harris Rd, Greenwood, MO 64034-8247 | 2018-10-24 |
| 1093220790 | Shannon Grove | Dietitian, Registered | 500 Polk St Ste 24, Greenwood, IN 46143-1638 | 2017-12-05 |
| 1235398819 | Amy Watson | Dietitian, Registered | 812 Knollwood Dr, Greenwood, IN 46142-2019 | 2008-06-09 |
| 1922619550 | Abby Self | Dietitian, Registered | 333 E County Line Rd Ste B, Greenwood, IN 46143-1080 | 2020-08-17 |
| 1912558016 | Cassidy Wheeler | Dietitian, Registered | 607 Greenwood Springs Dr, Greenwood, IN 46143-6377 | 2019-09-20 |
| 1215592258 | Paula R Johnson | Dietitian, Registered | 1325 Spring St, Greenwood, SC 29646-3875 | 2019-05-06 |
| 1154847374 | Kaitlyn Wong | Dietitian, Registered | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2017-08-18 |
| 1881051738 | Cynthia Wilson | Dietitian, Registered | 128 Maxwell Ave, Suite F, Greenwood, SC 29646-2641 | 2016-01-23 |
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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.