Active NPI
Amanda Davis
- Registered Dietitian
- Hickory, NC
National Provider Identifier
1285009167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004758
- Practice address
- 420 7TH Ave SW
Hickory, NC 28602-3236 - Phone
- (828) 485-4092
- NPI assigned
- Dec 3, 2015
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L004758 | NC | Primary |
Addresses
Primary practice location
420 7TH Ave SW
Hickory, NC 28602-3236
Mailing address
6068 Gold Creek Estate Dr
Hickory, NC 28601-9432
Phone (828) 778-2352
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 |
|---|---|---|---|
| L004758 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1285009167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6068 GOLD CREEK ESTATE DR",
"city": "HICKORY",
"state": "NC",
"postal_code": "286019432",
"telephone_number": "828-778-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 7TH AVE SW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286023236",
"telephone_number": "828-485-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.