AMBER ROSE FENTRESS


Address: 1465 Laney Walker Blvd # 1040, Augusta, GA 30912-0002
Phone: 7067213448

AMBER ROSE FENTRESS (NPI# 1720556590) 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) 1720556590
Entity Type Individual
Full Name AMBER ROSE FENTRESS
Credential MS, RDN, LD
Practice Address 1465 Laney Walker Blvd # 1040
Augusta
GA 30912-0002
Mailing Address 1106 Broad St Apt G
Augusta
GA 30901-1118
Practice Telephone 7067213448
Mailing Telephone 8127199619
Enumeration Date 2018-11-09
Last Update Date 2018-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LD005126 GA Dietary & Nutritional Service Providers

Office Location

Street Address 1465 LANEY WALKER BLVD # 1040
City AUGUSTA
State GA
Zip Code 30912-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033749460 Courtney Tayler Crumpton Dietitian, Registered 1465 Laney Walker Blvd # 1040, Augusta, GA 30912-0002 2020-01-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
Find all providers in zip 30912

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
1902403454 Jacqueline Robilliard Rd Cde LLC Nutrition Care Center Dietitian, Registered 219 Cony Rd, Augusta, ME 04330-0502 2020-10-07
1407463888 Ria Kathleen Saunders Dietitian, Registered 219 Cony Rd # 1, Augusta, ME 04330-0502 2020-09-29
1952957045 Libby Ann Dominik Dietitian, Registered 4386 Cappeln Osage Rd, Augusta, MO 63332-1118 2019-08-14
1508362674 Katelyn Metz Dietitian, Registered 1447 Harper St, Augusta, GA 30912-0020 2018-04-05
1437655669 Sarah Tankersley Dietitian, Registered 1120 15th St # Ba-1565, Augusta, GA 30912-0004 2018-04-05
1295274199 Kimberly A Beavers Dietitian, Registered 3154 Perimeter Pkwy, Suite 2, Augusta, GA 30909-4804 2017-02-13
1821449240 Christopher Rashun Nesbitt Dietitian, Registered 2772 Huntcliffe Dr, Augusta, GA 30909-0661 2016-06-27
1972969475 Nellie Rovansek Dietitian, Registered 2219 Dartmouth Rd, Augusta, GA 30904-3429 2016-01-13
1538419007 Johanna M Whisenhunt Dietitian, Registered 1408 Leigh Court, Augusta, GA 30909-6738 2012-09-12
1417260407 Telenutrition Therapy Inc Dietitian, Registered 810 Camellia Rd, Augusta, GA 30909-2734 2010-07-19
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 30912

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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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