Active NPI
Amanda Gail Sprague, RD, LDN
- Registered Dietitian
- Titusville, FL
National Provider Identifier
1073860714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 6309
- Practice address
- 603 N Washington Ave
Diabetes Education
Titusville, FL 32796-2107 - Phone
- (321) 268-6699
- NPI assigned
- Aug 13, 2012
- 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 | ND 6309 | FL | Primary |
Addresses
Primary practice location
603 N Washington Ave
Diabetes Education
Titusville, FL 32796-2107
Mailing address
603 N Washington Ave
Diabetes Education
Titusville, FL 32796-2107
Phone (321) 268-6699
Other names 1
- Amanda Gail Strauss
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 6309 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1073860714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 N WASHINGTON AVE",
"address_2": "DIABETES EDUCATION",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962107",
"telephone_number": "321-268-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 N WASHINGTON AVE",
"address_2": "DIABETES EDUCATION",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962107",
"telephone_number": "321-268-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGUE",
"first_name": "AMANDA",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 6309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "STRAUSS",
"middle_name": "GAIL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Titusville, FL
- Specialized Transportation for Outpatient Services, Inc.
- Specialized Treatment, Education and Prevention Services, Inc.
- Speechwise Therapy LLC
- Anita D Spitz, MD
- Latasha Spivey
- Kathleen Deann Springer
- SS Brevard Community HC LLC (Titusville Rehabilitation and Nursing Center)
- St. Francis Pathways to Healthcare, LLC (St Francis Reflections Lifestage Care)
- Nathan Stafford, DPT
- Phillip Stafford, L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.