Active NPI
Amanda E Garant, RD
- Registered Dietitian
- Indianapolis, IN
National Provider Identifier
1184015141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37002024A
- Practice address
- 6640 Intech Blvd
Ste 195
Indianapolis, IN 46278-2011 - Phone
- (317) 295-0608
- Fax
- (317) 295-0622
- NPI assigned
- Feb 12, 2015
- 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 | 37002024A | IN | Primary |
Addresses
Primary practice location
6640 Intech Blvd
Ste 195
Indianapolis, IN 46278-2011
Mailing address
6640 Intech Blvd
Ste 195
Indianapolis, IN 46278-2011
Phone (317) 295-0608
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37002024A | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Mindfully Nourished | Dietitian, Registered | Current | Accepting new patients |
Locations
13295 Illinois St
Ste 104
Carmel, IN 46032
Phone (317) 218-4095
Organizations & group practices 1
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": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1184015141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6640 INTECH BLVD",
"address_2": "STE 195",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462782011",
"telephone_number": "317-295-0608",
"fax_number": "317-295-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6640 INTECH BLVD",
"address_2": "STE 195",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462782011",
"telephone_number": "317-295-0608",
"fax_number": "317-295-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARANT",
"first_name": "AMANDA",
"middle_name": "E",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37002024A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.