Active NPI
Amanda Hollenbach, MS, RD, LDN, LAT,ATC
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1295073096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN004044
- Practice address
- 321 Autumn River Run
Philadelphia, PA 19128-4355 - Phone
- (267) 908-4825
- NPI assigned
- Jan 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT003678 | PA | |
| Registered Dietitian | 133V00000X | DN004044 | PA | Primary |
Addresses
Primary practice location
321 Autumn River Run
Philadelphia, PA 19128-4355
Mailing address
701 E Cathedral Rd Ste 45-1483
Philadelphia, PA 19128-2128
Phone (267) 908-4825
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164010096 | Other | IL | IL LICENSE NUMBER |
| 2643 | Other | AR | AR LICENSE NUMBER |
| DT91014 | Other | TX | TX LICENSE NUMBER |
| DN-0011217 | Other | DE | DE LICENSE NUMBER |
| 012689 | Other | NY | NY LICENSE NUMBER |
| DX7322 | Other | MD | MD LICENSE NUMBER |
| RT003678 | Other | PA | PA LICENSE NUMBER |
| DN004044 | Other | PA | PA LICENSE NUMBER |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN004044 | PA | MD | Registered Dietitian |
| RT003678 | PA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Wellness LLC | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
701 E Cathedral Rd
Ste 451483
Philadelphia, PA 19128
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1295073096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E CATHEDRAL RD STE 45-1483",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282128",
"telephone_number": "267-908-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 AUTUMN RIVER RUN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191284355",
"telephone_number": "267-908-4825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLENBACH",
"first_name": "AMANDA",
"credential": "MS, RD, LDN, LAT,ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT003678",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE NUMBER",
"identifier": "164010096",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR LICENSE NUMBER",
"identifier": "2643",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICENSE NUMBER",
"identifier": "DT91014",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DE LICENSE NUMBER",
"identifier": "DN-0011217",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY LICENSE NUMBER",
"identifier": "012689",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE NUMBER",
"identifier": "DX7322",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "RT003678",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "DN004044",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.