AMANDA NELSON (NPI# 1487925996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487925996 |
Entity Type | Individual |
Full Name | AMANDA NELSON |
Credential | MS, RD, LDN |
Practice Address |
2814 Miller Rd Geneva IL 60134-3996 |
Practice Telephone | 6304798786 |
Mailing Telephone | 6304798786 |
Enumeration Date | 2012-01-16 |
Last Update Date | 2012-01-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
164.005465 | IL | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356959142 | Amanda Li Nelson | Nurse Practitioner | 367 Bay Ridge Pkwy # 1, Brooklyn, NY 11209-3177 | 2020-07-17 |
1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
1770018541 | Amanda Nelson | Speech-Language Pathologist | 305 Westin Ln, Chico, CA 95973-5832 | 2017-04-28 |
1841734662 | Amanda Nelson | Registered Nurse | 12960 Rosemary St, Thornton, CO 80602-8410 | 2016-12-13 |
1952765968 | Amanda Nelson | Specialist | 5191 S Grant St, Littleton, CO 80121-1008 | 2016-04-06 |
1821453986 | Amanda Nelson | Marriage & Family Therapist | 2150 S Mcclelland St, Apt 217, Salt Lake City, UT 84106-2580 | 2015-12-16 |
1588036586 | Amanda Nelson | Nurse Practitioner | 6027 Walnut Grove Rd Ste 307, Memphis, TN 38120-2128 | 2015-10-29 |
1932509072 | Amanda Jo Nelson | Physician Assistant | 3516 Elm Ave Apt 408, Long Beach, CA 90807-3916 | 2014-08-26 |
1073891172 | Amanda K Nelson | Plastic Surgery | 777 Sw Mill View Way Ste 100, Bend, OR 97702 | 2011-07-25 |
1982873170 | Amanda Renae Nelson | Registered Nurse | 5446 Fern Loop, West Richland, WA 99353-9806 | 2008-02-21 |
Street Address |
2814 MILLER RD |
City | GENEVA |
State | IL |
Zip Code | 60134-3996 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
Find all providers in zip 60134 |
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 |
1043757149 | Amanda Salley | Dietitian, Registered | 1900 Sycamore Rd, Homewood, IL 60430-2323 | 2017-01-26 |
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 |
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.