Individual provider Active NPI

Amanda Kelly Sakr, RD

  • Registered Dietitian
  • Leander, TX
National Provider Identifier
1154037547
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86075552 Issued in FL
Practice address
660 S Bagdad Rd Ste 310
Leander, TX 78641-5049
Phone
(512) 772-6788
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86075552 FL Primary

Addresses

Primary practice location

660 S Bagdad Rd Ste 310
Leander, TX 78641-5049

Mailing address

1919 SE 10TH Ave Apt 6133
Fort Lauderdale, FL 33316-3185
Phone (267) 237-0893

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

LicenseStateTypeSpecialty
86075552FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Blissnutri Wellness LLC Dietitian, Registered CurrentSince Feb 8, 2023 Accepting new patients
Webnutri.Com Consulting, LLC Dietitian, Registered PastSince Feb 8, 2023 Accepting new patients

Locations

660 S Bagdad Rd
Ste 310
Leander, TX 78641
Phone (512) 772-6788

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1154037547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 SE 10TH AVE APT 6133",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163185",
            "telephone_number": "267-237-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S BAGDAD RD STE 310",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415049",
            "telephone_number": "512-772-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKR",
        "first_name": "AMANDA",
        "middle_name": "KELLY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "86075552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.