Amanda Pomeroy, MCN, RD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

500 S Oakwood Rd
Oshkosh, WI 54904-7944

Phone

(920) 850-8428

NPI assigned

Jun 19, 2020

Last updated

Mar 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1477179059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5308 HILLCREST RD",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549379485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S OAKWOOD RD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047944",
            "telephone_number": "920-850-8428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 Ontario Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543118302",
            "country_code": "US",
            "telephone_number": "920-328-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "AMANDA",
        "credential": "MCN, RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Plzak, RPH
• Shannon Polakowski, RN
• Kevin L Polglaze, DO
• Maxie D Pollard, CRNA
• Julianne Katherine Pollei
• Jennifer Michelle Ponfil
• Danielle J Pontius, MSW
• Ellie F Popp
• John William Poss, NP
• Marlee Potratz, BS

• Registered Dietitian in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.