Amanda Henderson Hubbard, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003929 Issued in GA

Practice address

5312 Creekmont Timbers TRL
Houston, TX 77091-0835

Phone

(803) 374-7023

NPI assigned

Sep 24, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amanda Brooke Henderson Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Delfina Medical Group PA

  • Obstetrics & Gynecology Physician
  • Germantown, MD
  • NPI 1295447472

  Dietitian, Registered

  NPD
• C.Funsho Fagbohun,MD,PHD PA

  • Obstetrics & Gynecology Physician
  • Richmond, TX
  • NPI 1932332426
  NPD (past)
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Mochi Medical Ca PC

  dba Mochi Medical West

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1285036962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 CREEKMONT TIMBERS TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770910835",
            "telephone_number": "803-374-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 CREEKMONT TIMBERS TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770910835",
            "telephone_number": "803-374-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "AMANDA",
        "middle_name": "HENDERSON",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HENDERSON",
            "middle_name": "BROOKE",
            "credential": "RD,LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Xiao Huang, MD
• Yun-Ting Lisa Huang, O.D.
• Zhen Huang, M.D.
• Huangs Health LLC
• Angeline Hubbard Rollins
• Claudra Jo Hubbard
• Debra Hubbard
• Julie C. Hubbard, RN, ACNP
• Lisa A Hubbard, R.D.,L.D.
• Rachel Michelle Hubbard, LMSW

• Registered Dietitian in Houston, TX
• Providers in Houston, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.