Individual provider Active NPI

Kayla Amacher Bowling, RDN, LDN

  • Registered Dietitian
  • Murfreesboro, TN
National Provider Identifier
1174094684
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3087 Issued in TN
Practice address
3400 Lebanon Rd BLDG 9
Murfreesboro, TN 37129-1236
Phone
(615) 225-2774
NPI assigned
Dec 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 3087 TN Primary

Addresses

Primary practice location

3400 Lebanon Rd BLDG 9
Murfreesboro, TN 37129-1236

Mailing address

3400 Lebanon Rd BLDG 9
Murfreesboro, TN 37129-1236
Phone (615) 225-2774

Other names 1

  • Ms. Kayla Lynn Amacher Professional name

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
3087TNMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1174094684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LEBANON RD BLDG 9",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291236",
            "telephone_number": "615-225-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LEBANON RD BLDG 9",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291236",
            "telephone_number": "615-225-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "KAYLA",
        "middle_name": "AMACHER",
        "name_prefix": "Mrs.",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "3087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "AMACHER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "RDN, LDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.