Amanda Marie Liptak, RDN

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

5319 Issued in OH

Practice address

5706 Turney Rd Ste 202
Garfield Heights, OH 44125-3928

Phone

(330) 441-1706

NPI assigned

Oct 12, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Nutrient Rich Life Nutrition Coaching LLC

  • Registered Dietitian
  • Medina, OH
  • NPI 1801651336
  NPD

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1386360204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SOMERSET DR",
            "city": "HINCKLEY",
            "state": "OH",
            "postal_code": "442339655",
            "telephone_number": "330-441-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 TURNEY RD STE 202",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441253928",
            "telephone_number": "330-441-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTAK",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "OH",
            "license": "5319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Lewis
• Life Care 360, LLC
• Lincare Inc
• Judah R Lindenberg, M.D.
• Jacqueline Linen
• Livingspring Health and Wellness Center LLC
• Lisa Lockhart
• Clarence Lofton
• Amber Logan
• Jennifer Love

• Obesity and Weight Management Nutrition Registered Dietitian in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.