Individual provider Active NPI

Amy Lynn Mathew, RD, LD

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1437526936
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT86987 Issued in TX
Practice address
6500 Greenville Ave Ste 444
Dallas, TX 75206-1025
Phone
(972) 265-9599
NPI assigned
Aug 31, 2015
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN005720 PA
Registered Dietitian 133V00000X DT86987 TX Primary

Addresses

Primary practice location

6500 Greenville Ave Ste 444
Dallas, TX 75206-1025

Mailing address

12000 Clearpoint CT
Frisco, TX 75036-7686
Phone (585) 727-9905

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

LicenseStateTypeSpecialty
DN005720PAMDRegistered Dietitian
DT86987TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Seeds Nutrition Counseling LLC Dietitian, Registered CurrentSince Feb 27, 2022 Accepting new patients
Blossom Nutrition Counseling LLC Dietitian, Registered CurrentSince May 28, 2023 Accepting new patients

Locations

10 West Rd
Newtown, PA 18940
Phone (215) 480-0658

6500 Greenville Ave
Ste 444
Dallas, TX 75206
Phone (972) 265-9599

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1437526936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 CLEARPOINT CT",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750367686",
            "telephone_number": "585-727-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 GREENVILLE AVE STE 444",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061025",
            "telephone_number": "972-265-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005720",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.