Amanda Kay Boyer, MS, RDN, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86026809 Issued in IN

Practice address

1136 W 17TH St Ste B
Bloomington, IN 47404-3000

Phone

(765) 541-2165

NPI assigned

May 25, 2018

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1578054516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 S STRAIN RIDGE ROAD",
            "address_2": "PO BOX #140",
            "city": "SMITHVILLE",
            "state": "IN",
            "postal_code": "474589998",
            "telephone_number": "765-541-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 W 17TH ST STE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043000",
            "telephone_number": "765-541-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "582 E Hillside Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474017747",
            "country_code": "US",
            "telephone_number": "765-541-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "MS, RDN, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "86026809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Lynn Bowlen, RBT
• Kristen Bowles-Johnson, O.D.
• Larry C Bowling, MD
• Jessi Lyn Bowman, PMHNP-BC
• Michelle Bowman
• Sara Anne Boyer, LAT, ATC
• Jehan McGinnis Boyers
• Brad Stepp, PSYD LLC
• Daniel Cory Bradley, NP
• Jennifer Elizabeth Bradley, PSY.D., HSPP

• Registered Dietitian in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.