Active NPI
Amanda Shumaker, RDN
- Registered Dietitian
- Denver, CO
National Provider Identifier
1154963668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86105013
- Practice address
- 4705 E Louisiana Ave Apt 408
Denver, CO 80246-3459 - Phone
- (214) 850-3404
- NPI assigned
- Oct 16, 2019
- Last updated
- Oct 16, 2019
- Sex
- Female
- 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 | 86105013 | CO | Primary |
Addresses
Primary practice location
4705 E Louisiana Ave Apt 408
Denver, CO 80246-3459
Mailing address
4705 E Louisiana Ave Apt 408
Denver, CO 80246-3459
Phone (214) 850-3404
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86105013 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Body Rd LLC | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1154963668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 E LOUISIANA AVE APT 408",
"city": "DENVER",
"state": "CO",
"postal_code": "802463459",
"telephone_number": "214-850-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 E LOUISIANA AVE APT 408",
"city": "DENVER",
"state": "CO",
"postal_code": "802463459",
"telephone_number": "214-850-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMAKER",
"first_name": "AMANDA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86105013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.