Active NPI
Amanda Stabile, RDN
- Registered Dietitian
- Casselberry, FL
National Provider Identifier
1417760158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND13981
- Practice address
- 1313 Sterling Oaks Dr
Casselberry, FL 32707-3947 - Phone
- (407) 590-3129
- NPI assigned
- Jan 28, 2025
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND13981 | FL | |
| Registered Dietitian | 133V00000X | ND13981 | FL | Primary |
Addresses
Primary practice location
1313 Sterling Oaks Dr
Casselberry, FL 32707-3947
Mailing address
1313 Sterling Oaks Dr
Casselberry, FL 32707-3947
Phone (407) 590-3129
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND13981 | FL | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1417760158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 STERLING OAKS DR",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073947",
"telephone_number": "407-590-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 STERLING OAKS DR",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073947",
"telephone_number": "407-590-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABILE",
"first_name": "AMANDA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND13981",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND13981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casselberry, FL
- Ieshia Spencer, RBT
- Spine Sport & All Facets of Rehab Center Inc
- Sally Springman, RN
- St Philopater LLC (Best Care Pharmacy)
- Emmanuelle St Preux
- Sabine Starck, RN
- Anthony Chamar Steele, RBT
- Melanie Kirby Stein, LMHC
- Stephanie Kern Investment and Holding Company LLC (New Age Wellness)
- Shawndrika Stevenson Smith
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.