Amanda J Wikan, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

002063 Issued in IA

Practice address

730 N Monarch Dr
Prescott, AZ 86305-7556

Phone

(563) 277-2015

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

No

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

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.

• Amanda Wikan LLC

  • Registered Dietitian
  • Prescott, AZ
  • NPI 1316791528

  Dietitian, Registered

  NPD Authorized official
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1144576471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N MONARCH DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057556",
            "telephone_number": "563-277-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MONARCH DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057556",
            "telephone_number": "563-277-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKAN",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "002063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald F Whitney, M.D.
• Wholemind Healing Pathways
• Barbara Kathryn Wich, M.D.
• Karl Theodore Wickstrom, M.D.
• Hanna Magdalena Wiesner, LMT
• Joan L Wilburg-Bourne
• Quinton Wiggins Wilder, LMT
• Sondra Wilkening, MS, LPC
• Jeffrey Franklin Willard, PA-C
• Sheila Michelle Willems, O.D.

• Registered Dietitian in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.