Amanda Mittman, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3497 Issued in MA

Practice address

24 S Prospect St Ste 104
Amherst, MA 01002-2293

Phone

(917) 626-1027

NPI assigned

Jan 18, 2016

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

Enrolled in MA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Happy Valley Nutrition PCGroup PAC ID 4486047800, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Happy Valley Nutrition PC

  • Registered Dietitian
  • Amherst, MA
  • NPI 1780223032

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1104283456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S PROSPECT ST STE 104",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022293",
            "telephone_number": "917-626-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S PROSPECT ST STE 104",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022293",
            "telephone_number": "917-626-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTMAN",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Sanford Midler, M.D.
• Hope Miller
• Lillian May Miller, PH.D.
• Tiana Tovah Mirapae, M ED LCSW
• Glenn E Miskovsky, M.D.
• Shane R Mitus, RPH
• Martha W. Mohr, PA-C
• Kimberly R. Moliterno
• Montague Psychological Associates
• Courtney Montellano, MSW

• Registered Dietitian in Amherst, MA
• Providers in Amherst, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.