Amanda Marie Gibson, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3003 Issued in LA

Practice address

204 Holiday Dr
Houma, LA 70364-2644

Phone

(985) 381-3145

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Houma Nutrition Consulting Services LLC

  • Registered Dietitian
  • Houma, LA
  • NPI 1851967608

  Dietitian, Registered

  NPD Authorized official
• Whitney Mediations, LLC

  • Counselor
  • Houma, LA
  • NPI 1710615927
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1386258267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HOLIDAY DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642644",
            "telephone_number": "985-381-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HOLIDAY DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642644",
            "telephone_number": "985-381-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "3003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Enterprises, Inc.
• Dianne Elizabeth Gerardi, DPT
• Christin Cathia Gethers, MD
• Elizabeth Gheisari, M.D
• Katie Pitre Gibbens, LCSW
• Tammy Galtier Gibson, M.ED., LPC, NCC
• Anita L Gilbert, NP
• Dawn Marie Gilcrease, BCBA
• Willie Glaze Jr.
• Donald Greg Gleason, LCSW

• Registered Dietitian in Houma, LA
• Providers in Houma, LA by specialty
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.