Amanda Nelson, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86175855 Issued in UT

Practice address

4626 N 300 W Ste 150
Provo, UT 84604-6077

Phone

(801) 407-4134

Fax

(801) 877-0864

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Gheen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sela Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Provo, UT
  • NPI 1497183024

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1477148666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 N 300 W STE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 N 300 W STE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046077",
            "telephone_number": "801-407-4134",
            "fax_number": "801-877-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9494 W Flamingo Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891475718",
            "country_code": "US",
            "telephone_number": "702-659-9043",
            "fax_number": "801-877-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMANDA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "40589-DI-0",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "86175855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GHEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jack Leonard Neiger, LCSW
• Neighborhood Counseling
• Karl D Neilson, MD
• Michael K Neilson, D.O.
• Abigail Nelson
• Amber Nelson, LAT, ATC
• Brooke Nelson
• Devon A Nelson, MD
• Duane James Nelson, M.D.
• Gary E Nelson, PA-C

• Registered Dietitian in Provo, UT
• Providers in Provo, UT by specialty
• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.