Amanda Ament, RDN
Individual provider Active NPI Registered Dietitian · Coeur D Alene, ID
NPI 1043837685 · NPPES record last updated Aug 25, 2021
Key facts
- NPI
- 1043837685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- D813 (ID)
- Practice address
- 1090 W Park PL
Coeur D Alene, ID 83814-2785 - Phone
- (208) 215-2005
- Fax
- (844) 807-3782
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D813 | ID | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D813 | ID | Yes |
Addresses
Primary practice location
1090 W Park PL
Coeur D Alene, ID 83814-2785
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D813 | Other | ID | LICENSE |
Other names
- Amanda Marlette
Other providers in Coeur D Alene, ID
- Ambitions of Idaho Inc
- Ambitions of Idaho Inc
- Ambitions of Idaho, Inc
- Ambitions of Idaho, Inc.
- Frederick P Ambrose
- America'S Best Contacts & Eyeglasses
- American Mobile Drug Testing / a Drug Free Alliance
- Breanna Ammari
- Lindsey Marie Anagnostopoulos
- Pamela Anain
All providers in Coeur D Alene, ID · Registered Dietitian in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.