Active NPI
Amanda J Thul, REGISTERED DIETICIAN
- Registered Dietitian
- Humboldt, IA
National Provider Identifier
1346685443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002081
- Practice address
- 1000 15TH St N
Humboldt, IA 50548-1008 - Phone
- (515) 332-4200
- NPI assigned
- May 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 002081 | IA | Primary |
Addresses
Primary practice location
1000 15TH St N
Humboldt, IA 50548-1008
Mailing address
1000 15TH St N
Humboldt, IA 50548-1008
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 |
|---|---|---|---|
| 002081 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1346685443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 15TH ST N",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 15TH ST N",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481008",
"telephone_number": "515-332-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUL",
"first_name": "AMANDA",
"middle_name": "J",
"credential": "REGISTERED DIETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-02",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "002081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humboldt, IA
- Sister's Home Style Entrees
- Shanna Renae Studer, O.D.
- Lucas Daniel Sulentic
- TC Dermatology, PLC
- TC Health & Medspa
- Katherine Belle Tierney, PHARM.D
- Trimark Physicians Group (UnityPoint Clinic)
- Trimark Physicians Group Inc (Trimark Physicians Group)
- Trinity Regional Medical Center (Unitypoint Clinic Family Medicine Humboldt)
- Christine Kay Vitzthum
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.