Active NPI
Amanda Kathleen Reid, MS, RD, LD
- Registered Dietitian
- Colorado Springs, CO
National Provider Identifier
1588968440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 954062
- Practice address
- 175 S Union Blvd
Colorado Springs, CO 80910-3113 - Phone
- (719) 365-6148
- NPI assigned
- Jan 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 954062 | CO | Primary |
Addresses
Primary practice location
175 S Union Blvd
Colorado Springs, CO 80910-3113
Mailing address
8890 N Union Blvd
Colorado Springs, CO 80920-7799
Phone (719) 365-6148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954062 | CO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1588968440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8890 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207799",
"telephone_number": "719-365-6148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103113",
"telephone_number": "719-365-6148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "AMANDA",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-06",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "954062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.