Amanda Nelson, MS, RD, LDN

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

164.005465 Issued in IL

Practice address

2814 Miller Rd
Geneva, IL 60134-3996

Phone

(630) 479-8786

NPI assigned

Jan 16, 2012

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1487925996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 MILLER RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343996",
            "telephone_number": "630-479-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 MILLER RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343996",
            "telephone_number": "630-479-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMANDA",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "IL",
            "license": "164.005465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig A Nasralla, M.D.
• Laura Louise Naughton, CCC-SLP
• Raheemuddin Nazeer, M.D.
• Caroline Olivia Neal, M.A.
• Stephanie Nelson-Gerhardt, M.S.
• Rodney B. Nelson III, M.D.
• Jennifer Nenni, RDN
• Joseph M Neubauer, M.D.
• New Beginnings Pediatrics SC
• New Legends Counseling Coaching and Consulting LLC

• Pediatric Nutrition Registered Dietitian in Geneva, IL
• Providers in Geneva, IL by specialty
• Pediatric Nutrition Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.