Individual provider Active NPI

Amanda Stephens

  • Registered Dietitian
  • New Braunfels, TX
National Provider Identifier
1396507125
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84342 Issued in TX
Practice address
2115 Stephens PL Ste 400B
New Braunfels, TX 78130-2167
Phone
(210) 439-1714
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT84342 TX Primary

Addresses

Primary practice location

2115 Stephens PL Ste 400B
New Braunfels, TX 78130-2167

Mailing address

2262 Hidden MDW
New Braunfels, TX 78130-4831
Phone (512) 665-2740

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

Practice roles

OrganizationSpecialtyStatusNew patients
Food 4 Success Dietitian, Registered CurrentSince Feb 22, 2024 Accepting new patients

Locations

2115 Stephens Pl
Ste 400B
New Braunfels, TX 78130
Phone (210) 439-1714

1067 FM 306
Ste 404
New Braunfels, TX 78130
Phone (210) 439-1714

Organizations & group practices 1

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1396507125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 HIDDEN MDW",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304831",
            "telephone_number": "512-665-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 STEPHENS PL STE 400B",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302167",
            "telephone_number": "210-439-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.