Active NPI
Amanda Ruth Stegmann, LDN
- Nutritionist
- East Boston, MA
National Provider Identifier
1245883305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 4793
- Practice address
- 158 Cottage St Apt 1R
East Boston, MA 02128-3157 - Phone
- (207) 837-4080
- NPI assigned
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 4793 | MA | Primary |
Addresses
Primary practice location
158 Cottage St Apt 1R
East Boston, MA 02128-3157
Mailing address
158 Cottage St Apt 1R
East Boston, MA 02128-3157
Phone (207) 837-4080
Other names 1
- Amanda Ruth Stegmann
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 |
|---|---|---|---|
| 4793 | MA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1245883305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 COTTAGE ST APT 1R",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021283157",
"telephone_number": "207-837-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 COTTAGE ST APT 1R",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021283157",
"telephone_number": "207-837-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEGMANN",
"first_name": "AMANDA",
"middle_name": "RUTH",
"credential": "LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "MA",
"license": "4793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "STEGMANN",
"middle_name": "RUTH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in East Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.