Amy Deahl-Greenlaw, RDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DN000633 Issued in PA

Practice address

581 Watford LN
Berwyn, PA 19312-1750

Phone

(610) 220-6085

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By 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

State licenses

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1124480587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 WATFORD LN",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121750",
            "telephone_number": "610-220-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 WATFORD LN",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121750",
            "telephone_number": "610-220-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAHL-GREENLAW",
        "first_name": "AMY",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN000633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Nutritionist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.