Amanda Thomas, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN005462 Issued in PA

Practice address

135 S Bryn Mawr Ave Ste 200
Bryn Mawr, PA 19010-3129

Phone

(610) 325-1390

Fax

(610) 325-1373

NPI assigned

Feb 5, 2016

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athens Nutrition, LLC

  • Registered Dietitian
  • Ardmore, PA
  • NPI 1073963955

  Dietitian, Registered

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

• Amanda Roselli Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043678089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S BRYN MAWR AVE STE 200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103129",
            "telephone_number": "610-325-1390",
            "fax_number": "610-325-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S BRYN MAWR AVE STE 200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103129",
            "telephone_number": "610-325-1390",
            "fax_number": "610-325-1373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Newtown Rd",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189745221",
            "country_code": "US",
            "telephone_number": "215-441-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Newtown Rd",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189745221",
            "country_code": "US",
            "telephone_number": "215-441-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMANDA",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ROSELLI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• The Nemours Foundation
• The Therapy Space LLC
• Theodore B. Loos, DC, PC
• Edward A Theurkauf Jr., MD
• Inge A Thickening, CRNP
• Jennifer Thomas
• Stacey Elengickal Thomas, MD
• Robin A Thompkins, AGNP-C
• Asa Ali Thompson Jr., MD
• Lucien Thomsen, LCSW

• All providers in Bryn Mawr, PA
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.