Amanda Blair Maddalena, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND8976 Issued in FL

Practice address

7305 N Military TRL
Riviera Beach, FL 33410-7417

Phone

(561) 817-2286

NPI assigned

Nov 1, 2022

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

State licenses

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1619684594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7724 77TH WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 N MILITARY TRL",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334107417",
            "telephone_number": "561-817-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDALENA",
        "first_name": "AMANDA",
        "middle_name": "BLAIR",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND8976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Macdonald, MSW
• Marilu Machin, M.D.
• Jacqueline A Mack, MSW
• Tonia Mack, RN
• Sian Maclean, MA
• Lisa A Madden, CPHT
• Kaitlin Madeira
• Marlon D Angelo Madison
• Andrea Syd Main, MPT
• Judith Marie Majewski, MD,MPH,

• Registered Dietitian in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.