Active NPI
Amit Sood, MS, RD, CSSD, PMP
- Registered Dietitian
- Santa Rita, GU
National Provider Identifier
1104897818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 85007968
- Practice address
- 6 Mount Lamlam St
Santa Rita, GU 96915-1426 - Phone
- (671) 486-6012
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- 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 | 85007968 | TX | Primary |
Addresses
Primary practice location
6 Mount Lamlam St
Santa Rita, GU 96915-1426
Mailing address
6 Mount Lamlam St
Santa Rita, GU 96915-1426
Phone (671) 486-6012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104897818 | Other | MILITARY |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85007968 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1104897818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MOUNT LAMLAM ST",
"city": "SANTA RITA",
"state": "GU",
"postal_code": "969151426",
"telephone_number": "671-486-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MOUNT LAMLAM ST",
"city": "SANTA RITA",
"state": "GU",
"postal_code": "969151426",
"telephone_number": "671-486-6012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOD",
"first_name": "AMIT",
"name_prefix": "Mr.",
"credential": "MS, RD, CSSD, PMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "85007968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY",
"identifier": "1104897818",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rita, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.