Amanda Bowen, MPH, RD, CDE
Individual provider Active NPI Registered Dietitian · Highland, CA
NPI 1518315662 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1518315662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1059335 (CA)
- Practice address
- 6711 Tiara Ave
Highland, CA 92346-6031 - Phone
- (909) 615-2171
- NPI assigned
- May 31, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1059335 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1059335 | CA | Yes |
Addresses
Primary practice location
6711 Tiara Ave
Highland, CA 92346-6031
Mailing address
6711 Tiara Ave
Highland, CA 92346-6031
Phone (909) 615-2171
Other providers in Highland, CA
- Xiomara Betanco
- Jo Devenne Elek Sullano Bilbao
- Amanda Ann Blanton
- Judy F. Blodgett
- Catherine Bodman
- Katherine Boyko
- Darrell Broussard II
- Joeann Brown
- Nelson Brown Jr.
- Suzanne Browning
All providers in Highland, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.