Active NPI
Amanda Helen Wilcox, MS, RD, LDN
- Registered Dietitian
- Plymouth, MA
National Provider Identifier
1073276176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5377
- Practice address
- 11 Hoover St
Plymouth, MA 02360-1518 - Phone
- (954) 805-4042
- NPI assigned
- Oct 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5377 | MA | Primary |
Addresses
Primary practice location
11 Hoover St
Plymouth, MA 02360-1518
Mailing address
11 Hoover St
Plymouth, MA 02360-1518
Phone (954) 805-4042
Other names 1
- Amanda Helen Fyotek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1073276176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HOOVER ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023601518",
"telephone_number": "954-805-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 HOOVER ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023601518",
"telephone_number": "954-805-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "AMANDA",
"middle_name": "HELEN",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-16",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "FYOTEK",
"middle_name": "HELEN",
"credential": "MS, RD, LDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.