Amanda Andrus, MS

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

450 NW Gilman Blvd Ste 201
Issaquah, WA 98027-2722

Phone

(425) 835-2503

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2025.

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1003522947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 MATCHPOINT DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064570",
            "telephone_number": "208-520-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD STE 201",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272722",
            "telephone_number": "425-835-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUS",
        "first_name": "AMANDA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Rae Anderson, LMT
• Paula L Anderson, MA
• Sandi Jean Anderson
• Seth Michael Anderson
• Tamara Louise Anderson, MASTERS
• Alexis Angell
• Ankle & Foot Specialists of Puget Sound, PS
• Michele Gray Ankrim, CNM, DNP
• Amy E Anton, PA-C
• Keoni Aparis, DC

• All providers in Issaquah, WA
• Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.