Amanda Leanna Hellebusch, RD

Individual provider Active NPI Registered Dietitian · Washington, MO

NPI 1437794898 · NPPES record last updated Oct 9, 2023

Key facts

NPI
1437794898
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2019032534 (MO)
Practice address
901 Patients First Dr Ste 2000
Washington, MO 63090-4700
Phone
(636) 390-1684
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231011003171 MO Practitioner - Registered Dietitian Or Nutrition Professional 5395190318 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Surgical Specialists, LLC Current
since Oct 18, 2025
Accepting new patients
Mercy Clinic East Communities Current Accepting new patients
Mercy Clinic East Communities Current
since Nov 20, 2023
Accepting new patients
Mercy Hospitals East Communities Past
since Oct 18, 2025
Accepting new patients

Locations

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

901 Patients First Dr
Ste 2000
Washington, MO 63090
Phone (636) 239-7344

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

901 Patients First Dr
Ste 2000A
Washington, MO 63090
Phone (636) 390-1776

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2019032534 MO Yes

Addresses

Primary practice location

901 Patients First Dr Ste 2000
Washington, MO 63090-4700

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (636) 390-1684

Other names

  • Amanda Leanna Martin Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2023.

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1437794898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "636-390-1684",
            "fax_number": "636-231-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR STE 2000",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-390-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLEBUSCH",
        "first_name": "AMANDA",
        "middle_name": "LEANNA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2019032534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MARTIN",
            "middle_name": "LEANNA",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, MO

All providers in Washington, MO · Registered Dietitian in Missouri

Sources for this page

Verify at the official NPI Registry.