Amy Kotlarz McCormack, MS RD LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5300 Issued in AL

Practice address

132 Bayberry LN
Madison, AL 35758-6013

Phone

(256) 258-9606

NPI assigned

Aug 15, 2008

Last updated

Sep 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Foundations Nutrition & Lifestyle Counseling, LLC

  • Registered Dietitian
  • Madison, AL
  • NPI 1114856036

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1063668556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BAYBERRY LN",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586013",
            "telephone_number": "256-258-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 BAYBERRY LN",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357586013",
            "telephone_number": "256-258-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "AMY",
        "middle_name": "KOTLARZ",
        "name_prefix": "Mrs.",
        "credential": "MS RD LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "5300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Jeffrey McClendon, MS, ALC, NCC
• Edward Vinson McClendon, PHARM. D.
• Elizabeth Ann McCleskey, D.O.
• Ashley Leeann McCloud, M.D.
• Norman Eugene McCoomer, M.D.
• Stephanie L. McCrary, CRNP
• Jenna Lynn McDaniel
• Travis McDermott, DC
• Jalee Isabella McDonald, COTA
• Margaret S McDonald, EDS, LPC

• Registered Dietitian in Madison, AL
• Providers in Madison, AL by specialty
• Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.