Amanda Hessinger, RD

Individual provider Active NPI Registered Dietitian · Phoenix, MD

NPI 1225833965 · NPPES record last updated Feb 17, 2025

Key facts

NPI
1225833965
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DX4973 (MD)
Practice address
3711 Stansbury Mill Rd
Phoenix, MD 21131-1728
Phone
(410) 925-4847
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DX4973MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX4973 MD Yes

Addresses

Primary practice location

3711 Stansbury Mill Rd
Phoenix, MD 21131-1728

Mailing address

3711 Stansbury Mill Rd
Phoenix, MD 21131-1728
Phone (410) 925-4847

Other providers in Phoenix, MD

All providers in Phoenix, MD · Registered Dietitian in Maryland

Sources for this page

Verify at the official NPI Registry.