Active NPI
Amanda Sue Hawkins, R.D., C.D.
- Registered Dietitian
- Madison, WI
National Provider Identifier
1265639561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2064-029
- Practice address
- 2500 Overlook Ter
Madison, WI 53705-2254 - Phone
- (608) 256-1901
- NPI assigned
- Jun 29, 2007
- 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 | 2064-029 | WI | Primary |
Addresses
Primary practice location
2500 Overlook Ter
Madison, WI 53705-2254
Mailing address
3017 Royal Wulff Ter
Fitchburg, WI 53711-7126
Phone (813) 352-6830
Other names 1
- Mrs. Mandy Sue Tranel
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 |
|---|---|---|---|
| 2064-029 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1265639561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 ROYAL WULFF TER",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537117126",
"telephone_number": "813-352-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 OVERLOOK TER",
"city": "MADISON",
"state": "WI",
"postal_code": "537052254",
"telephone_number": "608-256-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "AMANDA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "R.D., C.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2064-029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANDY",
"last_name": "TRANEL",
"middle_name": "SUE",
"prefix": "MRS.",
"credential": "R.D., C.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.